Individual
KEVIN EUGENE HARVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3435 GREENMOUNT AVE STE 1, BALTIMORE, MD 21218-2942
(443) 708-0360
(667) 303-3152
Mailing address
3435 GREENMOUNT AVE STE 1, BALTIMORE, MD 21218-2942
(443) 708-0360
(667) 303-3152
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
MD
Enumeration date
09/08/2020
Last updated
09/08/2020
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