Organization
KENNEDY KRIEGER EDUCATION AND COMMUNITY SERVICES
Active
Organization
KENNEDY KRIEGER EDUCATION AND COMMUNITY SERVICES
Active
Other names
Kennedy Krieger School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J NEUMAN (SENIOR VP FINANCE)
(443) 923-1810
Entity
Organization
Contact information
Practice address
4600 POWDER MILL RD., BELTSVILLE, MD 20705-2675
(443) 923-4170
(443) 923-9405
Mailing address
1741 ASHLAND AVE., BALTIMORE, MD 21205
(443) 923-1870
(443) 923-1895
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
MD
163WS0200X
School Registered Nurse
—
MD
225100000X
Physical Therapist
—
MD
225X00000X
Occupational Therapist
—
MD
235Z00000X
Speech-Language Pathologist
—
MD
261QD1600X
Developmental Disabilities Clinic/Center
Primary
30-036
MD
Other
Enumeration date
05/21/2008
Last updated
11/24/2021
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