Individual
MR. KENNETH H. NOLL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CO, C.PED.
Contact information
Practice address
2135 HAMPTON CT, FALLSTON, MD 21047-2020
(410) 877-4160
(410) 877-0694
Mailing address
2135 HAMPTON CT, FALLSTON, MD 21047-2020
(410) 877-4160
(410) 877-0694
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12025890
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F725
CAREFIRST
MD
01
—
MK07AM
CAREFIRST
MD
Enumeration date
06/08/2005
Last updated
07/08/2007
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