KENNETH A ST. OURS

LANHAM, MD
NPI1245313816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0001047)
Enumeration Date2006-10-24
Last Update Date2007-10-22
Business Address
Mr. KENNETH A ST. OURS P.A.
8118 GOOD LUCK RD
LANHAM, MD 20706-3595
Phone number: 301-498-5990
Mailing Address
Mr. KENNETH A ST. OURS P.A.
302 COLONIAL CT
TOWSON, MD 21204-4317
Phone number: 410-832-5469