Individual provider · Type 1 NPI

Shannon Penick Pryor, MD

Otolaryngology Physician · Kensington, MD

NPI number 1164598348 Active

Practice location

10810 Connecticut Avenue
Kensington, MD 20895-2138

Fax (301) 929-7114

Mailing address

2101 E Jefferson St, Kaiser Permanente Medicare Enrollment Unit
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Otolaryngic Allergy Physician 207YX0602XMD33647 (DC)
Otolaryngic Allergy Physician 207YX0602X38383 (CO)
Otolaryngology Physician Primary 207Y00000XD0053881 (MD)
Otolaryngology Physician 207Y00000X0101241142 (VA)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1164598348

Shannon Penick Pryor, MD's National Provider Identifier is 1164598348, issued on Nov 28, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Kensington, MD. The record was last updated on Nov 16, 2011.