Individual
KELECHI NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15959 DORSET RD, LAUREL, MD 20707-5312
(501) 503-6528
Mailing address
15959 DORSET RD, LAUREL, MD 20707-5312
(501) 503-6528
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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