Organization
KESU MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYMPNA NDELLE NP (OWNER)
(410) 805-7816
Entity
Organization
Contact information
Practice address
4709 HARFORD RD, BALTIMORE, MD 21214-3205
(410) 805-7816
Mailing address
4709 HARFORD RD, BALTIMORE, MD 21214-3205
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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