Provider Demographics
NPI:1952530271
Name:STERLING, KEVIN ANDREW (LAC)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:ANDREW
Last Name:STERLING
Suffix:
Gender:M
Credentials:LAC
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Mailing Address - Street 1:15902 JERALD RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-2643
Mailing Address - Country:US
Mailing Address - Phone:410-792-7531
Mailing Address - Fax:301-498-6301
Practice Address - Street 1:14205 PARK CENTER DR
Practice Address - Street 2:SUITE 202
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5246
Practice Address - Country:US
Practice Address - Phone:410-792-7531
Practice Address - Fax:301-498-6301
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDU01315171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist