NPI 1790020642

Kenwood Pediatrics, LLC

Organisation Pediatrics Physician Bethesda, MD

Practice location

Address: 5301 Westbard Cir Suite 3, Bethesda, MD 20816-1401
Phone: (301) 654-6303
Fax: (301) 654-6304

Authorised official

Name: Nadine Z. Idriss
Title: Owner
Phone: (301) 654-6303

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Maryland →

Registry record

NPI: 1790020642
Entity type: Organization
NPI issued: 4 Dec 2012
Record last updated: 4 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.