Individual
CRYSTAL M KANASKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 SAINT PAUL ST, 5TH FLOOR, BALTIMORE, MD 21202-2001
(410) 332-9002
Mailing address
301 SAINT PAUL ST, TIDEPOINT-CREDENTIALING, BALTIMORE, MD 21202-2102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003528
MD
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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