Organization
IMANI HOUSE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETTE YOUVONNE KINGEL DNP FP CRNP (NURSE PRACTITIONER)
(443) 415-3371
Entity
Organization
Contact information
Practice address
4816 LAUREL AVE, BALTIMORE, MD 21215-6402
(443) 415-2271
(410) 664-2951
Mailing address
6101 PARK HEIGHTS AVE APT 1D, BALTIMORE, MD 21215-3640
(443) 415-3371
(410) 624-7190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
MD
Other
Enumeration date
10/02/2015
Last updated
12/12/2024
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