Individual
CHARLES KIRKLAND COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
706 COFFREN PL, UPPER MARLBORO, MD 20774-8555
(301) 346-0351
Mailing address
706 COFFREN PL, UPPER MARLBORO, MD 20774-8555
(301) 346-0351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R123405
MD
363L00000X
Nurse Practitioner
Primary
R123405
MD
Other
Enumeration date
05/14/2009
Last updated
10/14/2024
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