Organization
KENT ISLAND SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN S KAHAN D.O. (MEMBER)
(410) 571-9000
Entity
Organization
Contact information
Practice address
1630 MAIN ST, SUITE 215A, CHESTER, MD 21619-2791
(410) 571-9000
(410) 571-1670
Mailing address
2661 RIVA RD, BUILDING 100 SUITE 115, ANNAPOLIS, MD 21401-7353
(443) 458-5132
(443) 221-7622
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
09/22/2020
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