Organization
KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC.
Active
Other names
Kennedy Krieger Institute - Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE J NEUMAN (VICE PRESIDENT FINANCE)
(443) 923-1810
Entity
Organization
Contact information
Practice address
707 N. BROADWAY, BALTIMORE, MD 21205
(443) 923-9200
(443) 923-9405
Mailing address
P.O. BOX 744865, ATLANTA, GA 30374
(443) 923-1886
(443) 923-1875
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
30-036
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091678100
—
MD
Enumeration date
05/15/2007
Last updated
09/16/2020
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