# KMH MEDICAL SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982125779
- **Authorized official:** KELLY MARIE HEYWARD (CRNP)
- **Authorized official phone:** (717) 434-8264

## Contact information

- **Practice address:** 5401 BELAIR RD BSMT, BALTIMORE, MD 21206-4266
- **Practice address phone:** (667) 303-3700
- **Mailing address:** 5401 BELAIR RD BSMT, BALTIMORE, MD 21206-4266
- **Mailing address phone:** (667) 303-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2017
- **Last updated:** 05/27/2025