Organization
KINGDOM MEDICINE ADMINISTRATIVE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD ALLISON RICHARDSON MD (PRESIDENT)
(410) 381-8078
Entity
Organization
Contact information
Practice address
90 PAINTERS MILL RD STE 205, OWINGS MILLS, MD 21117-3614
(410) 907-1565
(443) 445-4111
Mailing address
8401 SUMMIT AVE, WINDSOR MILL, MD 21244-1169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
07/07/2024
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