| Jemima A. Kankam, M.d. P.a. | |
|
13639 Baltimore Ave Laurel MD 20707-5095 | |
| (301) 604-4830 | |
| (301) 604-4929 |
| Full Name | Jemima A. Kankam, M.d. P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 13639 Baltimore Ave, Laurel, Maryland |
| Authorized Official Name and Position | Jemima Kankam (PRESIDENT) |
| Authorized Official Contact | 3016044830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jemima A. Kankam, M.d. P.a. 13639 Baltimore Ave Laurel MD 20707-5095 Ph: (301) 604-4830 | Jemima A. Kankam, M.d. P.a. 13639 Baltimore Ave Laurel MD 20707-5095 Ph: (301) 604-4830 |
| NPI Number | 1992100325 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 10/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992100325 | NPI | - | NPPES |
| 169301800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D030505 (Maryland) | Primary |
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