Provider Demographics
NPI:1518657527
Name:JOSEPH, KEHINDE DEBORAH (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KEHINDE
Middle Name:DEBORAH
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 WOLF TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-4306
Mailing Address - Country:US
Mailing Address - Phone:443-449-1908
Mailing Address - Fax:
Practice Address - Street 1:3717 WOLF TRAIL DR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-4306
Practice Address - Country:US
Practice Address - Phone:443-449-1908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDNP216409363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health