Individual
SAVANNAH ALEXANDRA KINLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11804 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3311
(718) 809-7494
Mailing address
11804 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009869
MD
Other
Enumeration date
04/14/2022
Last updated
04/29/2025
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