| Kent County Public Schools | |
|
5608 Boundary Ave Rock Hall MD 21661-1604 | |
| (410) 778-6422 | |
| (410) 778-2896 |
| Full Name | Kent County Public Schools |
|---|---|
| Speciality | Counselor |
| Location | 5608 Boundary Ave, Rock Hall, Maryland |
| Authorized Official Name and Position | Wendy Keen (SUPERVISOR OF SPECIAL EDUCATION) |
| Authorized Official Contact | 4107786422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent County Public Schools 5608 Boundary Ave Rock Hall MD 21661-1604 Ph: (410) 778-6422 | Kent County Public Schools 5608 Boundary Ave Rock Hall MD 21661-1604 Ph: (410) 778-6422 |
| NPI Number | 1588707616 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 07/20/2022 |
| Certification Date | 06/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588707616 | NPI | - | NPPES |
| 541518700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
Kent County Public Schools Infant & Toddler Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5608 Boundary Ave, Rock Hall, MD 21661 Phone: 410-778-6422 Fax: 410-778-2896 |