Search › Maryland › 101YP2500X
Kenneth Favors, LCDADC
NPI 1356884605 · on the registry since 2016 · sole proprietor
Practice
- Address
- 8 Brompton Court
Elkton, MD 21921 - Phone
- (410) 398-7104
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
101YM0800X - Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-18
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