Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 18323 | MD |
NPI | 1083836316 |
---|---|
Provider Name | Mylene A Kempers |
First Address | Annapolis, MD 21401-8775 |
Second Address | Columbia, MD 21046-2396 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 14/05/2008 |