Kleese Family Care Llc | |
2 Hamill Rd Ste 222 Baltimore MD 21210-1815 | |
(443) 524-4481 | |
(443) 524-4483 |
Full Name | Kleese Family Care Llc |
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Speciality | Clinic/Center |
Location | 2 Hamill Rd, Baltimore, Maryland |
Authorized Official Name and Position | Matthew Kleese (CEO/PHYSICIAN) |
Authorized Official Contact | 4434807040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kleese Family Care Llc 2 Hamill Rd Ste 222 Baltimore MD 21210-1815 Ph: (443) 524-4481 | Kleese Family Care Llc 2 Hamill Rd Ste 222 Baltimore MD 21210-1815 Ph: (443) 524-4481 |
NPI Number | 1750849584 |
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Provider Enumeration Date | 03/11/2019 |
Last Update Date | 03/11/2019 |
Medicare PECOS PAC ID | 9739412784 |
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Medicare Enrollment ID | O20190606002850 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750849584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Matthew T Kleese |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730138264 PECOS PAC ID: 8527241769 Enrollment ID: I20110324000615 |
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