Physician Assistant
KINSHASA KILGORE PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1740432814 · enumerated 2008-10-21 · record updated 2024-02-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 2131 DAVIDSONVILLE RD, CROFTON, MD, 21114-1632 (410) 721-1000 Google Maps Apple Maps OpenStreetMap
- Mailing address 4601 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC, 20032-1131 (571) 249-3487 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License PA06008 TX
- Student in an Organized Health Care Education/Training Program 390200000X
- Physician Assistant 363A00000X · Primary · License C05240 MD
In this directory
Locations and evidence
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Practice location
CROFTON, MD, 211141632
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.