| Kennedy Krieger Associates | |
|
9810 Patuxent Woods Dr Columbia MD 21046-1595 | |
| (443) 923-3895 | |
| (443) 923-4390 |
| Full Name | Kennedy Krieger Associates |
|---|---|
| Speciality | Pediatrics |
| Location | 9810 Patuxent Woods Dr, Columbia, 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: () - | Kennedy Krieger Associates 9810 Patuxent Woods Dr Columbia MD 21046-1595 Ph: (443) 923-3895 |
| NPI Number | 1609685692 |
|---|---|
| Provider Enumeration Date | 01/03/2025 |
| Last Update Date | 01/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609685692 | NPI | - | NPPES |
| F158 | Other | MD | BLUECROSS FEDERAL |
| 168641100 | Medicaid | MD | |
| K631 | Other | MD | BLUECROSS MARYLAND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Ethos Health Maryland 3 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10840 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 352-732-5590 Fax: 352-732-0292 | |
Lorien Dialysis, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6334 Cedar Ln, Columbia, MD 21044 Phone: 410-750-7500 | |
Premier Medical Group Of Maryland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10705 Charter Dr Ste 420, Columbia, MD 21044 Phone: 410-709-7432 | |
Your Health Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046 Phone: 301-575-8080 | |
University Of Maryland Physicians, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5890 Waterloo Rd, Columbia, MD 21045 Phone: 410-667-2142 Fax: 410-799-9097 | |
Kauser And Tanveer Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9650 Santiago Rd, Suite #110, Columbia, MD 21045 Phone: 410-992-7004 Fax: 410-992-1657 | |
Doctors First P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8600 Snowden River Pkwy Ste 207, Columbia, MD 21045 Phone: 301-515-2901 |