Katoanh Phillip

NPI 1922731041 · on the registry since 2022 · sole proprietor

Practice

Address: 1308 Business Center Way
Edgewood, MD 21040
Phone: (443) 461-3311
Organisation at this address: Avawell, Llc
Avawell, Llc
Omj & Associates Llc
Project Chesapeake, Llc
Project Chesapeake, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 101YA0400X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-06

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