| Kimbrough Ambulatory Care Center | |
|
2480 Llewellyn Ave Fort Meade MD 20755-5800 | |
| (301) 677-8949 | |
| Not Available |
| Full Name | Kimbrough Ambulatory Care Center |
|---|---|
| Speciality | Clinic/center |
| Location | 2480 Llewellyn Ave, Fort Meade, Maryland |
| Authorized Official Name and Position | Denise Marie Evangelista (REGISTERED NURSE) |
| Authorized Official Contact | 3016778949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimbrough Ambulatory Care Center 2480 Llewellyn Ave Fort Meade MD 20755-5800 Ph: () - | Kimbrough Ambulatory Care Center 2480 Llewellyn Ave Fort Meade MD 20755-5800 Ph: (301) 677-8949 |
| NPI Number | 1649320276 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649320276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R127975 (Maryland) | Primary |
Kimbrough Ambulatory Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 301-677-8840 | |
Kacc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 301-677-8949 |