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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNY GASTON

Active Sole Proprietor

KENNY GASTON is a Student (Health Education/Training) healthcare provider located in MITCHELLVILLE, Maryland. NPI 1205302973 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · MITCHELLVILLE, MD

Registration Details

NPI Number
1205302973
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2018 (7.7756735934333 yrs)
Last Updated
Oct 19, 2018
Sole Proprietor
Yes

Practice Information

Address
12158 CENTRAL AVE
MITCHELLVILLE, MD, 207211932
Browse MD providers · Browse ZIP 20721
Phone
3014302750
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in MITCHELLVILLE, MD

Name Credential NPI
SHAYNA SRAGG 1336691393
MRS. LAUREN JEAN CLARK 1679000285
HOPE INYAMAH COSTON 1730607375
VICTOR T NGUYEN 1972015162
AMANDA LEAH STABILE 1740782978
JASMIN ESTEFANI CASCO NATAREN 1154825925
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.