Individual
MRS. RUTH NASIEKU KINGOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5205 CHAIRMANS CT STE 201A, FREDERICK, MD 21703-2918
(240) 629-3939
(301) 695-4469
Mailing address
2184 MOUNTAINVIEW DR, FREDERICK, MD 21702-2813
(240) 431-9068
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R212535
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R212535
MD STATE LICENSE
MD
Enumeration date
07/23/2019
Last updated
03/07/2023
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