Individual provider · Type 1 NPI

Kimberly Rienecke, P.A.-C

Medical Physician Assistant · Fort Washington, MD

NPI number 1962795039 Active

Practice location

11701 Livingston Rd Ste 105
Fort Washington, MD 20744-5126

Fax (301) 292-3278

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0004447 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1962795039

Kimberly Rienecke, P.A.-C's National Provider Identifier is 1962795039, issued on May 24, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Washington, MD. The record was last updated on May 24, 2011.