Individual
KYLE BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 NIGHT HAVEN CT, EDGEWATER, MD 21037-2721
(228) 257-1702
Mailing address
203 NIGHT HAVEN CT, EDGEWATER, MD 21037-2721
(228) 257-1702
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R217314
MD
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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