Individual
KYANNI N. FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
3505 ELLICOTT MILLS DR STE B1, ELLICOTT CITY, MD 21043-4599
(443) 203-8308
Mailing address
3505 ELLICOTT MILLS DR STE B1, ELLICOTT CITY, MD 21043-4599
(443) 203-8308
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
R156255
MD
225700000X
Massage Therapist
M04061
MD
Other
Enumeration date
04/09/2021
Last updated
10/06/2025
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