Individual
MS. MILDRED E KANGKOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
785 ELKRIDGE LANDING RD STE 300, LINTHICUM HEIGHTS, MD 21090-2958
(443) 548-5700
Mailing address
785 ELKRIDGE LANDING RD STE 300, LINTHICUM HEIGHTS, MD 21090-2958
(410) 548-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R192423
MD
Other
Enumeration date
03/14/2021
Last updated
07/02/2024
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