Organization
KINDER MENDER, LLC
Active
Other names
Kinder Mender Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEYVAN RAFEI M.D. (MEDICAL DIRECTOR)
(443) 492-4000
Entity
Organization
Contact information
Practice address
6100 DOBBIN RD, COLUMBIA, MD 21045-5804
(443) 492-4000
Mailing address
6100 DOBBIN RD, COLUMBIA, MD 21045-5804
(443) 492-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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