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Organization

KHC GROUP PC

Active
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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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