Organization
MANKAMYER CHIROPRACTIC AND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R MANKAMYER DC (CHIROPRACTOR)
(301) 334-3220
Entity
Organization
Contact information
Practice address
14689 GARRETT HWY STE 2, OAKLAND, MD 21550-4059
(301) 334-3220
(301) 334-3225
Mailing address
14689, SUITE 2, OAKLAND, MD 21550
(301) 334-3220
(301) 334-3225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC008044L
PA
111N00000X
Chiropractor
Primary
S02031
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3119847
MAMSI
MD
01
—
J527MA
BCBS
MD
Enumeration date
05/26/2006
Last updated
04/25/2023
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