Individual
KIMBERLY WACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1838 GREENE TREE RD, SUITE 150LL, BALTIMORE, MD 21208-6391
(410) 602-9262
(410) 602-9276
Mailing address
1838 GREENE TREE ROAD, SUITE 150LL, BALTIMORE, MD 21208
(410) 602-9262
(410) 602-9276
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002063
MD
Other
Enumeration date
10/16/2006
Last updated
12/01/2010
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