Individual provider · NPI-1

Kingsley Masalla Babila, NP

Nurse Practitioner · Glen Burnie, MD

NPI number1396600599
StatusActive
Last updated in NPPESFeb 23, 2026

Details

NPI
1396600599
Entity type
Individual (NPI-1)
Name
Kingsley Masalla Babila
Credential
NP
Sex
Male
Sole proprietor
No
Enumeration date
Dec 19, 2025
Certification date
Feb 23, 2026
Last updated
Feb 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerR250236MDYes

Practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Phone 202-308-3520

Mailing address

7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921

Phone 904-372-3943

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