Organization
KHC GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY H CUESTA (PRESIDENT)
(410) 546-6402
Entity
Organization
Contact information
Practice address
406 CHARLES ST STE 200, LA PLATA, MD 20646-3526
(410) 546-6402
Mailing address
406 CHARLES ST STE 200, LA PLATA, MD 20646-3526
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
D58534
MD
Other
Enumeration date
05/02/2009
Last updated
05/02/2009
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