Kingdom Medicine Pa | |
19 Walker Ave Ste 200 Pikesville MD 21208-4078 | |
(410) 653-2290 | |
(410) 653-8785 |
Full Name | Kingdom Medicine Pa |
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Speciality | Internal Medicine |
Location | 19 Walker Ave Ste 200, Pikesville, Maryland |
Authorized Official Name and Position | Leonard A Richardson (OWNER) |
Authorized Official Contact | 4106532290 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kingdom Medicine Pa 19 Walker Ave Ste 200 Pikesville MD 21208-4078 Ph: (410) 653-2290 | Kingdom Medicine Pa 19 Walker Ave Ste 200 Pikesville MD 21208-4078 Ph: (410) 653-2290 |
NPI Number | 1134308802 |
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Provider Enumeration Date | 10/30/2007 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134308802 | NPI | - | NPPES |
693604100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0067722 (Maryland) | Primary |
Ken M Zonies Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1838 Greene Tree Rd, Ste 300, Pikesville, MD 21208 Phone: 410-653-0366 Fax: 410-653-2527 | |
Oroszlan Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1838 Greene Tree Rd, Ste 300, Pikesville, MD 21208 Phone: 410-653-0366 Fax: 410-653-2527 | |
Woodholme Gastroenterology Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1838 Greene Tree Rd, Suite 400, Pikesville, MD 21208 Phone: 410-602-7782 Fax: 410-602-9344 | |
Doctor Benn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3635 Old Court Rd Ste 511, Pikesville, MD 21208 Phone: 443-241-4878 | |
Allen Hettleman Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1838 Greene Tree Rd, Ste 300, Pikesville, MD 21208 Phone: 410-653-0366 Fax: 410-653-2527 | |
David J Penn Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1838 Green Tree Rd, Ste 300, Pikesville, MD 21208 Phone: 410-653-0366 Fax: 410-653-2527 |