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Individual

MR. UKO (BEN) UDENSI KALU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPA-C

Contact information

Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(443) 929-0266
Mailing address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(443) 929-0266

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
NATIONAL
MD

Other

Enumeration date
09/24/2010
Last updated
09/24/2010
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