Kmh Medical Service LLC
Nurse Practitioner, Adult Health in Baltimore, MD. Organization (NPI-2).
NPI number1982125779
StatusActive
Last updated in NPPESMay 27, 2025
Details
- NPI
- 1982125779
- Entity type
- Organization (NPI-2)
- Legal business name
- Kmh Medical Service LLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2017
- Certification date
- May 27, 2025
- Last updated
- May 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
Practice location
5401 Belair Rd BsmtBaltimore, MD 21206-4266
Phone 667-303-3700
Mailing address
5401 Belair Rd BsmtBaltimore, MD 21206-4266
Phone 667-303-3700
Authorized official
Kelly Marie Heyward
Crnp
7174348264
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