Individual
KATHLEEN N FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14805 MAYDALE CT, SILVER SPRING, MD 20905-5552
(301) 384-6122
Mailing address
14805 MAYDALE CT, SILVER SPRING, MD 20905-5552
(301) 384-6122
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
74238
MA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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