NPI 1477158707

Kimberlie Ann Manns

Practitioner Supports Brokerage Agency Derwood, MD

Practice location

Address: 15849 Redland Rd, Derwood, MD 20855-2206
Phone: (240) 389-1971
Fax: (240) 389-1957

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 09062018DDA (MD)

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Registry record

NPI: 1477158707
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Dec 2020
Record last updated: 3 Dec 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.