| Kennedy Krieger Associates | |
|
1132 Annapolis Rd Odenton MD 21113-1647 | |
| (410) 874-1818 | |
| Not Available |
| Full Name | Kennedy Krieger Associates |
|---|---|
| Speciality | Pediatrics |
| Location | 1132 Annapolis Rd, Odenton, 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 1132 Annapolis Rd Odenton MD 21113-1647 Ph: (410) 874-1818 |
| NPI Number | 1861201857 |
|---|---|
| Provider Enumeration Date | 01/03/2025 |
| Last Update Date | 01/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861201857 | NPI | - | NPPES |
| K631 | Other | MD | BLUECROSS MARYLAND |
| 168641100 | Medicaid | MD | |
| F158 | Other | MD | BLUECROSS FEDERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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