Provider Demographics
NPI:1730885575
Name:KEKUH, NATALIE L (FNP-BC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:L
Last Name:KEKUH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MRS
Other - First Name:NATALIE
Other - Middle Name:LASHAUN
Other - Last Name:KEKUH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:PO BOX 1432
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20725-1432
Mailing Address - Country:US
Mailing Address - Phone:301-664-4209
Mailing Address - Fax:443-926-9958
Practice Address - Street 1:26 OWENS GLEN CT
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-2300
Practice Address - Country:US
Practice Address - Phone:301-664-4209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-02
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR224971363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care