| Kim Jones-fearing M.d. Llc | |
|
11221 Kinsale Ct Ellicott City MD 21042-6131 | |
| (410) 419-3769 | |
| Not Available |
| Full Name | Kim Jones-fearing M.d. Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11221 Kinsale Ct, Ellicott City, Maryland |
| Authorized Official Name and Position | Kim Jones-fearing (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3014219112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Jones-fearing M.d. Llc 11221 Kinsale Ct Ellicott City MD 21042-6131 Ph: (410) 419-3769 | Kim Jones-fearing M.d. Llc 11221 Kinsale Ct Ellicott City MD 21042-6131 Ph: (410) 419-3769 |
| NPI Number | 1669447991 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669447991 | NPI | - | NPPES |
| 655605 | Other | MD | UNITED HEALTHCARE |
| 413271800 | Medicaid | MD | |
| 23320001 | Other | DC | BC DC/METRO |
| 65FCKB | Other | MD | BC MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D46124 (Maryland) | Primary |
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