Organization
KIDDIE KOACH PRP LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PRICE (FOUNDER)
(443) 657-3345
Entity
Organization
Contact information
Practice address
9922 LIBERTY RD, RANDALLSTOWN, MD 21133-1804
(443) 657-3345
Mailing address
9922 LIBERTY RD, RANDALLSTOWN, MD 21133-1804
(443) 657-3345
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
11/12/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up