NPI 1295079762

Puria Atemnkeng Kenne, PHARMD

Practitioner Driver Chillum, MD

Practice location

Address: 5621 Sargent Rd, Chillum, MD 20782-2335
Phone: (301) 559-3333

Registered specialties (2)

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence K500696018234 (MD)

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Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 26520 (MD)

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Registry record

NPI: 1295079762
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2012
Record last updated: 14 Jan 2020

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.