Provider Demographics
NPI:1326330820
Name:GWYNN, KENDRICK BRANDON (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KENDRICK
Middle Name:BRANDON
Last Name:GWYNN
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:2700 REMINGTON AVE
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-3025
Mailing Address - Country:US
Mailing Address - Phone:667-312-2400
Mailing Address - Fax:410-367-2203
Practice Address - Street 1:2700 REMINGTON AVE
Practice Address - Street 2:SUITE 2000
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-3025
Practice Address - Country:US
Practice Address - Phone:667-312-2400
Practice Address - Fax:410-367-2203
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2016-10-10
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Provider Licenses
StateLicense IDTaxonomies
MDD81527207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine