LEOPOLDINE MODJO KENMOGNE

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC

Dr LEOPOLDINE MODJO KENMOGNE is a female medical professional, specializing in Internal Medicine. She graduated in 2001.

Contact

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC

1701 TWIN SPRINGS RD
HALETHORPE
MD
212273553

Tel: 4107375000

LEOPOLDINE MODJO KENMOGNE Information

Npi 1114312444
Pac Id 6901150119
Professional Enrollment Id I20181106002549
Last Name MODJO KENMOGNE
First Name LEOPOLDINE
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC
Group Practice Pac Id 3779495858
Number Of Group Practice Members 1644
Line 1 Street Address 1701 TWIN SPRINGS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HALETHORPE
State MD
Zip Code 212273553
Phone Number 4107375000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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