| King Edwards' Inc. | |
|
8600 Lasalle Road Chester Building, Suite 302 Towson MD 21286 | |
| (410) 494-9212 | |
| Not Available |
| Full Name | King Edwards' Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 8600 Lasalle Road, Towson, Maryland |
| Authorized Official Name and Position | Katrina Clayton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4104949212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| King Edwards' Inc. 8600 Lasalle Road Chester Building, Suite 300 Towson MD 21286 Ph: (410) 494-9212 | King Edwards' Inc. 8600 Lasalle Road Chester Building, Suite 302 Towson MD 21286 Ph: (410) 494-9212 |
| NPI Number | 1275349326 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 08/21/2025 |
| Certification Date | 08/21/2025 |
| Medicare PECOS PAC ID | 3779004643 |
|---|---|
| Medicare Enrollment ID | O20250307001088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275349326 | NPI | - | NPPES |
| Provider Name | Katrina Shird Clayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033468806 PECOS PAC ID: 6406377373 Enrollment ID: I20250307001178 |
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