SearchMaryland183500000X

Kevin Ayensu

NPI 1164970174 · on the registry since 2016

Practice

Address
7270 Montgomery Rd
Elkridge, MD 21075
Phone
(410) 796-3344
Organisation at this address
Walgreen Co.
Rediclinic Of Md, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland