Individual
MS. KATHLEEN MARIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
12122 HERITAGE PARK CIR # A, SILVER SPRING, MD 20906-4554
(301) 942-6006
(301) 942-4513
Mailing address
153 RESEARCH RD, GREENBELT, MD 20770-1762
(301) 257-9373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14423
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A690PE A692KM
CAREFIRST BCBS
MD
01
—
S958 002
BSBC FEP PLAN
MD
Enumeration date
01/20/2007
Last updated
07/08/2007
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