MEDICARE: DR. ANNETTE YOUVONNE KINGEL CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R093471	MD

General Provider Information

NPI Number	:	1881633808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNETTE YOUVONNE KINGEL CRNP

Provider Business Mailing Address
First Line	:	7300 PARK HEIGHTS AVE APT B
Second Line	:
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-5435
Country	:	US
Telephone Number	:	443-415-3371
Fax Number	:	410-624-7193

Provider Business Practice Location Address
First Line	:	6101 PARK HEIGHTS AVE APT 1D
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-3640
Country	:	US
Telephone Number	:	410-624-7190
Fax Number	:	410-624-7193

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	08/27/2024

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