Kennedy Krieger School | |
1200 Pennsylvania Ave. Furman L. Templeton Baltimore MD 21217 | |
(410) 462-9560 | |
(443) 923-9405 |
Full Name | Kennedy Krieger School |
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Speciality | Clinic/center - Developmental Disabilities |
Location | 1200 Pennsylvania Ave., Baltimore, Maryland |
Authorized Official Name and Position | Mike Neuman (VICE PRESIDENT FINANCE) |
Authorized Official Contact | 4439231810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kennedy Krieger School P.o. Box 744865 Atlanta GA 30374 Ph: (443) 923-1886 | Kennedy Krieger School 1200 Pennsylvania Ave. Furman L. Templeton Baltimore MD 21217 Ph: (410) 462-9560 |
NPI Number | 1740452762 |
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Provider Enumeration Date | 03/31/2008 |
Last Update Date | 09/16/2020 |
Certification Date | 09/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740452762 | NPI | - | NPPES |
1754815 03 | Medicaid | MD |
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