Organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN E SWINTON (CREDENTIALING DIRECTOR)
(301) 257-2797
Entity
Organization
Contact information
Practice address
655 WATKINS MILL RD, GAITHERSBURG, MD 20879-3301
(240) 632-4150
Mailing address
4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
21762
MD
Other
Enumeration date
08/09/2013
Last updated
07/24/2025
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