Organization
U.S. ARMY
Active
Other names
Kirk U.S. Army Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY PRESPER FNP (NURSE PRACTITIONER)
(410) 278-1814
Entity
Organization
Contact information
Practice address
2501 OAKINGTON ST, ABERDEEN PROVING GROUND, MD 21005-5131
(410) 278-1814
Mailing address
1252 EVERETTE RD, GUNPOWDER, MD 21010-1618
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
223451-4405
UT
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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