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Individual

MR. KENT NATAPRAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(240) 857-2333
Mailing address
6433 EMPTY SONG RD, COLUMBIA, MD 21044-6019
(240) 423-5149

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/15/2009
Last updated
08/01/2024
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