Kallon, Agnes Jennifer
Kallon, Agnes Jennifer is an sole proprietor health care provider with primary practice located at 7300 Hanover Dr Suite 301, Greenbelt MD 20770-2202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kallon, Agnes Jennifer can be contacted via phone (301) 345-1800.Contact Information
Primary practice address
7300 Hanover Dr Suite 301
Greenbelt MD 20770-2202
Phone: (301) 345-1800
Fax: (301) 345-3854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R123473 | Maryland |
Profile Details
| NPI number | 1043536790 |
|---|---|
| LBN Legal business name | Kallon, Agnes Jennifer |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2010 |
| Last updated | Oct 14th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043536790 | NPPES |
| Maryland | Other | R123473 | LICENSE |
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