Individual
MR. MICHAEL J KINGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
200 CIVIC AVE, SALISBURY, MD 21804-4599
(410) 749-1466
Mailing address
200 CIVIC AVE, SALISBURY, MD 21804-4599
(410) 749-1466
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R187889
MD
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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