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Individual

KATHLEEN E. IRVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A-C

Contact information

Practice address
301 SAINT PAUL ST, BALTIMORE, MD 21202-2165
(410) 332-9000
Mailing address
5601 LOCH RAVEN BLVD, P.O.B- SUITE G1, BALTIMORE, MD 21239-2905
(410) 532-4730
(410) 532-4752

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003018
MD
363A00000X
Physician Assistant

Other

Enumeration date
05/23/2006
Last updated
04/24/2024
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