| Kingdom Medicine Administrative Services, Inc. | |
|
90 Painters Mill Rd Ste 205 Owings Mills MD 21117-3614 | |
| (410) 907-1565 | |
| (443) 445-4111 |
| Full Name | Kingdom Medicine Administrative Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 90 Painters Mill Rd Ste 205, Owings Mills, Maryland |
| Authorized Official Name and Position | Leonard Allison Richardson (PRESIDENT) |
| Authorized Official Contact | 4103818078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Medicine Administrative Services, Inc. 8401 Summit Ave Windsor Mill MD 21244-1169 Ph: () - | Kingdom Medicine Administrative Services, Inc. 90 Painters Mill Rd Ste 205 Owings Mills MD 21117-3614 Ph: (410) 907-1565 |
| NPI Number | 1164984977 |
|---|---|
| Provider Enumeration Date | 04/01/2019 |
| Last Update Date | 07/07/2024 |
| Medicare PECOS PAC ID | 0143553909 |
|---|---|
| Medicare Enrollment ID | O20190610002351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164984977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Leonard Allison Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053384750 PECOS PAC ID: 7911915400 Enrollment ID: I20180319001328 |
Dr Tahoora Kawaja Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Crossroads Dr, Suite 101, Owings Mills, MD 21117 Phone: 410-902-0277 Fax: 410-902-0443 | |
Dr Daliah Salahuddin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Crossroads Dr, Suite 101, Owings Mills, MD 21117 Phone: 410-902-1144 Fax: 410-902-6391 | |
Ez Health Care Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Painters Mill Rd Ste 106, Owings Mills, MD 21117 Phone: 240-552-0267 | |
Camelle Redding, Crnp,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9902 Linden Hill Rd Ste B, Owings Mills, MD 21117 Phone: 443-776-2583 Fax: 347-851-8731 | |
Crossroads Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Crossroads Dr, Suite 400, Owings Mills, MD 21117 Phone: 410-998-9100 Fax: 410-998-9104 | |
All Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9544 Watts Rd, Owings Mills, MD 21117 Phone: 144-381-4659 |