| Dept. Of Health-kenwood High Wellness Center | |
|
501 Stemmers Run Rd Baltimore MD 21221-3333 | |
| (410) 887-4130 | |
| (410) 666-8748 |
| Full Name | Dept. Of Health-kenwood High Wellness Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 501 Stemmers Run Rd, Baltimore, Maryland |
| Authorized Official Name and Position | David C Taylor (PRIVACY OFFICER) |
| Authorized Official Contact | 4108872077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dept. Of Health-kenwood High Wellness Center 6401 York Rd 3rd Floor Baltimore MD 21212-2152 Ph: (410) 887-2077 | Dept. Of Health-kenwood High Wellness Center 501 Stemmers Run Rd Baltimore MD 21221-3333 Ph: (410) 887-4130 |
| NPI Number | 1689944761 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 04/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689944761 | NPI | - | NPPES |
| 420948600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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