Individual
KIMBERLY REENAY SPIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12101 APACHE TEARS CIR, LAUREL, MD 20708-2863
(240) 380-5181
Mailing address
12101 APACHE TEARS CIR, LAUREL, MD 20708-2863
(240) 380-5181
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
MTO82209
MD
3747P1801X
Personal Care Attendant
Primary
MT0182209
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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