NPI 1386255917

Kenneth Merritt

Practitioner Driver White Plains, MD

Practice location

Address: 10040 Whittle CT, White Plains, MD 20695-4233
Phone: (301) 356-2832

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence M630465237881 (MD)

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Registry record

NPI: 1386255917
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2020
Record last updated: 17 Aug 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.