Individual
DR. SOKPHEARY SRORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7190 CRESTWOOD BLVD, KAISER PERMANENTE FREDERICK MEDICAL CENTER, FREDERICK, MD 21703-7314
(800) 777-7904
Mailing address
7190 CRESTWOOD BLVD, KAISER PERMANENTE FREDERICK MEDICAL CENTER, FREDERICK, MD 21703-7314
(800) 777-7904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101253049
VA
207Q00000X
Family Medicine Physician
Primary
D0074996
MD
Other
Enumeration date
04/27/2009
Last updated
02/08/2022
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