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Organization
KINGSKIDS PHYSICIANS, LLC
Active
Organization
KINGSKIDS PHYSICIANS, LLC
Active
Parent organization
KINGSKIDS PHYSICIANS, LLC
Other names
KingsKids Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINGSKIDS PHYSICIANS, LLC
Authorized official
MR. SUNDAY CHUKS OKPARAOCHA (OFFICE MANAGER)
(443) 653-1229
Entity
Organization
Contact information
Practice address
13932 BALTIMORE AVE, 11, LAUREL, MD 20707-5000
(443) 653-1229
(410) 315-7868
Mailing address
13932 BALTIMORE AVE, 11, LAUREL, MD 20707-5000
(443) 653-1229
(410) 315-7868
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D0064420
MD
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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