| Kennedy Krieger School | |
|
1750 E Fairmont Ave. Baltimore MD 21231 | |
| (443) 923-9100 | |
| (443) 923-4525 |
| Full Name | Kennedy Krieger School |
|---|---|
| Speciality | Clinic/center - Developmental Disabilities |
| Location | 1750 E Fairmont Ave., Baltimore, Maryland |
| Authorized Official Name and Position | Mike J Neuman (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 4439231810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Krieger School Po Box 744865 Atlanta GA 30374 Ph: (443) 923-1886 | Kennedy Krieger School 1750 E Fairmont Ave. Baltimore MD 21231 Ph: (443) 923-9100 |
| NPI Number | 1366540619 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366540619 | NPI | - | NPPES |
| 1754815 00 | Other | MD | KKI SCHOOL FAIRMOUNT |
| 175481500 | Medicaid | MD |
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