Individual
MS. KENYATTA HOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4340 PARK HEIGHTS AVENUE, BALTIMORE, MD 21215
(410) 542-8130
Mailing address
10053 CORIOLI WAY, OWINGS MILLS, MD 21117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R155112
MD
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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