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Individual

KAU WONKEMIE KORTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-7246
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C02855
MD

Other

Enumeration date
01/26/2007
Last updated
07/08/2007
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