Individual
DR. HENRY GRACE KAKEMBO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
448 N LUZERNE AVE, BALTIMORE, MD 21224-1116
(410) 675-3394
(410) 675-8056
Mailing address
8612 SECRET WAVES WAY, COLUMBIA, MD 21045
(301) 596-7063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0042217
MD
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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