Individual
MS. KIMBERLY RIENECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
11701 LIVINGSTON RD STE 105, FORT WASHINGTON, MD 20744-5126
(301) 292-7440
(301) 292-3278
Mailing address
11701 LIVINGSTON RD STE 105, FORT WASHINGTON, MD 20744-5126
(301) 292-7440
(301) 292-3278
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004447
MD
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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