Ksa Youth Foundation Inc. | |
10351 Southern Maryland Blvd Ste 101 Dunkirk MD 20754-9510 | |
(240) 766-4194 | |
(301) 485-0363 |
Full Name | Ksa Youth Foundation Inc. |
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Speciality | Clinic/center - Primary Care |
Location | 10351 Southern Maryland Blvd Ste 101, Dunkirk, Maryland |
Authorized Official Name and Position | Katrina Wilkins-jackson (CEO) |
Authorized Official Contact | 2407664194 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ksa Youth Foundation Inc. 10903 Indian Head Hwy Ste 504 Fort Washington MD 20744-4012 Ph: (240) 766-4194 | Ksa Youth Foundation Inc. 10351 Southern Maryland Blvd Ste 101 Dunkirk MD 20754-9510 Ph: (240) 766-4194 |
NPI Number | 1922568435 |
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Provider Enumeration Date | 03/21/2019 |
Last Update Date | 03/21/2019 |
Identifier | Type | State | Issuer |
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1922568435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Azam Baig,m.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10845 Town Center Blvd Ste 207, Dunkirk, MD 20754 Phone: 301-327-5093 Fax: 301-327-5095 | |
Brightseat Health Baltimore Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2972 Penwick Ln, Dunkirk, MD 20754 Phone: 301-423-4551 | |