Individual
DR. KENNETH JANA NOLASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4337 EBENEZER RD, NOTTINGHAM, MD 21236-2143
(410) 529-3303
Mailing address
4337 EBENEZER RD, NOTTINGHAM, MD 21236-2143
(410) 529-3303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30423
MD
Other
Enumeration date
06/11/2025
Last updated
07/07/2025
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