| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | |
|
10810 Connecticut Ave Kensington MD 20895-2138 | |
| (301) 816-2424 | |
| Not Available |
| Full Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10810 Connecticut Ave, Kensington, Maryland |
| Authorized Official Name and Position | Colleen Swinton (DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 3012572797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc 4000 Garden City Dr Hyattsville MD 20785-2418 Ph: (301) 816-2424 | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc 10810 Connecticut Ave Kensington MD 20895-2138 Ph: (301) 816-2424 |
| NPI Number | 1922800630 |
|---|---|
| Provider Enumeration Date | 03/25/2025 |
| Last Update Date | 10/10/2025 |
| Certification Date | 10/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922800630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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