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Etiendem Nkengafac
NPI 1508657677 · on the registry since 2025
Practice
- Address
- 9814 Pheasant Run Ct
Laurel, MD 20708 - Phone
- (240) 232-9199
- Organisation at this address
- Knk Mental Health Services Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Male
- Record last updated
- 2025-05-16
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