Individual
MRS. KIM MARIE REDFEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
18415 GARNER LN, ACCOKEEK, MD 20607-3228
(202) 679-1546
Mailing address
18415 GARNER LN, ACCOKEEK, MD 20607-3228
(202) 679-1546
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R160299
MD
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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