Kingdomhealthllc
NPI #1609606003 in Mechanicsville, Maryland
Provider Information
- NPI Number
- 1609606003
- Entity Type
- Organization
- Organization Name
- Kingdomhealthllc
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Aug 1, 2024
- Last Updated
- Aug 1, 2024
Practice Location
- Address
- 36725 JOAN DR
- City
- Mechanicsville
- State
- Maryland
- ZIP Code
- 20659-5830
- Phone
- (850) 381-4677
Authorized Official
- Name
- MRS. RENEE MARIA GRUBBS, NP
- Title
- PRIMARY CLINICIAN
- Phone
- (850) 381-4677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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