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Organization
KMH MEDICAL SERVICE LLC
Active
Organization
KMH MEDICAL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY HEYWARD CRNP (CEO)
(717) 577-2736
Entity
Organization
Contact information
Practice address
5401 BELAIR RD, BALTIMORE, MD 21206-4265
(717) 577-2736
Mailing address
1637 COLD BOTTOM RD, SPARKS GLENCOE, MD 21152-9524
(717) 577-2736
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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