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Kenny Gaston
Student in an Organized Health Care Education/Training Program in Mitchellville, Maryland
NPI 1205302973

Kenny Gaston is a Student in an Organized Health Care Education/Training Program based in Silver Spring, MD. Kenny Gaston practices in Mitchellville, MD. The NPI Number for Kenny Gaston is 1205302973 and holds a License No. (Maryland).

The current practice location address for Kenny Gaston is 12158 Central Ave, Mitchellville, MD and can be reached out via phone at 301-430-2750.

Location: 12158 Central Ave, Mitchellville, MD, 20905-7038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205302973
Provider Name
Kenny Gaston
Credential
Provider Entity Type
Individual
Gender
Male
Address
12158 Central Ave, Mitchellville, MD, 20905-7038
Phone Number
301-430-2750
Fax Number
Provider Enumeration Date
10/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12158 Central Ave
City
Mitchellville
State
Maryland
Zip
20721-1932
Phone Number
301-430-2750
Fax Number
person
Provider Business Mailing Address Details
Address
12158 Central Ave
City
Mitchellville
State
Maryland
Zip
20721-1932
Phone Number
301-430-2750
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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