| Kennedy Krieger School | |
|
1200 Pennsylvania Ave. Furman L. Templeton Baltimore MD 21217 | |
| (410) 462-9560 | |
| (443) 923-9405 |
| Full Name | Kennedy Krieger School |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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