Individual
KINGSLEY I BRYAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 AUTH WAY, KAISER PERMANENTE MARLOW HEIGHTS MEDICAL CENTER, SUITLAND, MD 20746-4207
(301) 702-5000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D67522
MD
207V00000X
Obstetrics & Gynecology Physician
MT184913
PA
Other
Enumeration date
12/27/2006
Last updated
05/31/2021
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