Organization
MARYLAND KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKENNA EZUMBA MD (DIRECTOR)
(443) 835-8683
Entity
Organization
Contact information
Practice address
826 WASHINGTON RD STE 205, WESTMINSTER, MD 21157-5780
(410) 386-9099
(410) 386-9098
Mailing address
826 WASHINGTON RD STE 205, WESTMINSTER, MD 21157-5780
(410) 386-9099
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
07/10/2019
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