Leopoldine Modjo Kenmogne, MD Valid NPI

Individual provider · Internal Medicine Physician · Halethorpe, MD

NPI

1114312444

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

D84576 (MD)

Sex

Female

Sole proprietor

No

Enumerated

2015-04-03

Last updated

2024-05-16