| Kennedy Krieger Associates | |
|
425 Williams Ct Ste 116 Middle River MD 21220-2898 | |
| (443) 923-9200 | |
| (667) 205-4395 |
| Full Name | Kennedy Krieger Associates |
|---|---|
| Speciality | Pediatrics |
| Location | 425 Williams Ct Ste 116, Middle River, 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 425 Williams Ct Ste 116 Middle River MD 21220-2898 Ph: (443) 923-9200 |
| NPI Number | 1841009842 |
|---|---|
| Provider Enumeration Date | 01/03/2025 |
| Last Update Date | 01/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841009842 | NPI | - | NPPES |
| 168641100 | Medicaid | MD | |
| F158 | Other | MD | BLUECROSS FEDERAL |
| K631 | Other | MD | BLUECROSS MARYLAND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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Govindaraju Madhiraju M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Ballard Ave, Middle River, MD 21220 Phone: 410-686-3931 Fax: 410-686-3932 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Chesapeake Park Plz, Middle River, MD 21220 Phone: 410-682-1609 Fax: 410-682-1458 | |
Health Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 Irondale St Ste 120, Middle River, MD 21220 Phone: 410-687-3924 Fax: 410-687-4195 | |
Comprehensive Rehab Consultants Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 Windlass Dr, Middle River, MD 21220 Phone: 410-687-1383 |