NPI 1235655168

Katelynn Amanda Queen

Practitioner Case Manager/Care Coordinator La Plata, MD

Practice location

Address: 6100 Radio Station Rd, La Plata, MD 20646-3314
Phone: (301) 609-9887
Mailing address: PO Box 2924, La Plata, MD 20646-2984

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1235655168
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2017
Record last updated: 22 Aug 2017

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.