Individual
KEVIN GOUNDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-7221
Mailing address
3027 N BRANCH LN, PARKVILLE, MD 21234-1243
(240) 446-1830
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R182305
MD
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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