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Audrey Fonkam

NPI 1003378746 · on the registry since 2019

Practice

Address
301 Saint Paul St
Baltimore, MD 21202
Phone
(410) 332-9808
Organisation at this address
Walgreen Co
Walgreen Co.
Kelsey Care, Llc
Privia Care Center Llc
Privia Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
123

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland