Individual
MRS. KATHLEEN ROSE HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
110 HOSPITAL RD STE 111, PRINCE FREDERICK, MD 20678-4039
(410) 414-2778
Mailing address
3381 SOPER RD, HUNTINGTOWN, MD 20639-9145
(410) 693-3929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R206291
MD
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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