Individual
KATHLEEN HISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 HOPKINS BAYVIEW CIRCLE ROOM 2A62, BALTIMORE, MD 21264-1714
(410) 550-2301
(410) 550-3256
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
D77191
MD
Other
Enumeration date
04/28/2009
Last updated
08/15/2023
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