| Drs Steve & Kellie Smaldore Family Practice, Inc | |
|
2227 Old Emmorton Rd Ste 218 Bel Air MD 21015-6189 | |
| (443) 371-4940 | |
| (443) 371-4941 |
| Full Name | Drs Steve & Kellie Smaldore Family Practice, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2227 Old Emmorton Rd Ste 218, Bel Air, Maryland |
| Authorized Official Name and Position | Kellie Bobbitt Smaldore (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4433714940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Steve & Kellie Smaldore Family Practice, Inc 2227 Old Emmorton Rd Ste 218 Bel Air MD 21015-6189 Ph: (433) 371-4940 | Drs Steve & Kellie Smaldore Family Practice, Inc 2227 Old Emmorton Rd Ste 218 Bel Air MD 21015-6189 Ph: (443) 371-4940 |
| NPI Number | 1891854188 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 7719986314 |
|---|---|
| Medicare Enrollment ID | O20061208000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891854188 | NPI | - | NPPES |
| 952110100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kellie B Smaldore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356335095 PECOS PAC ID: 8820114119 Enrollment ID: I20100923000966 |
| Provider Name | Stephen G Smaldore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427042167 PECOS PAC ID: 5890794499 Enrollment ID: I20100924001071 |
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