Search › Maryland › 101YP2500X
Demitri Kornegay
NPI 1417413253 · on the registry since 2019 · sole proprietor
Practice
- Address
- 12805 Vicar Woods Ln
Bowie, MD 20720 - Phone
- (240) 876-3828
- Fax
- (301) 809-6194
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-18
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