Individual
KENNETH L PARDOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7116 RITCHIE HWY, GLEN BURNIE, MD 21061-2904
(443) 577-0277
(443) 577-0288
Mailing address
PO BOX 759047, BALTIMORE, MD 21275-9047
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000884
MD
Other
Enumeration date
06/04/2006
Last updated
10/25/2012
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