| Kennedy Krieger Associates | |
|
716 N Broadway Baltimore MD 21205-1806 | |
| (443) 923-3260 | |
| (443) 923-9575 |
| Full Name | Kennedy Krieger Associates |
|---|---|
| Speciality | Pediatrics |
| Location | 716 N Broadway, Baltimore, Maryland |
| Authorized Official Name and Position | Lisa Badie (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 4439231812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Krieger Associates Po Box 45944 Baltimore MD 21297-5944 Ph: (443) 923-1886 | Kennedy Krieger Associates 716 N Broadway Baltimore MD 21205-1806 Ph: (443) 923-3260 |
| NPI Number | 1164220042 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164220042 | NPI | - | NPPES |
| 168641100 | Medicaid | MD | |
| K631 | Other | MD | BLUECROSS MARYLAND |
| F158 | Other | MD | BLUECROSS FEDERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Gbmc Health Partners At Helping Up Mission, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 E Baltimore St, Ground Floor, Baltimore, MD 21202 Phone: 410-826-0170 | |
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Np Medical Solutions By Sheila Waller Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5119 Mcfaul Rd, Baltimore, MD 21206 Phone: 443-531-6248 | |
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