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. |
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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 |
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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 |
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Provider Enumeration Date | 04/01/2019 |
Last Update Date | 07/07/2024 |
Medicare PECOS PAC ID | 0143553909 |
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Medicare Enrollment ID | O20190612000010 |
Identifier | Type | State | Issuer |
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1164984977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Leonard Allison Richardson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053384750 PECOS PAC ID: 7911915400 Enrollment ID: I20100916001263 |
Baltimore Suburban Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10085 Red Run Blvd Ste 306, Owings Mills, MD 21117 Phone: 410-653-0000 Fax: 410-653-5531 | |
Lifebridge Community Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Crossroads Dr Ste 340, Owings Mills, MD 21117 Phone: 410-653-0366 Fax: 410-601-4759 | |
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 |