Individual
MRS. KATHY ELIZABETH OZDINEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8118 GOOD LUCK RD, DCH /OR, LANHAM, MD 20706-3574
(301) 552-8500
(301) 552-8135
Mailing address
8118 GOOD LUCK RD, DCH /OR, LANHAM, MD 20706-3574
(301) 552-8500
(301) 552-8135
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0001423
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0001423
PA LICENSE
MD
Enumeration date
09/21/2009
Last updated
05/01/2020
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