Individual
KEVIN PETER MUNNELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20201 CENTURY BLVD, STE 480 CHEVY CHASE ANESTHESIA LLC, GERMANTOWN, MD 20874-1113
(301) 528-0222
(301) 515-4153
Mailing address
PO BOX 1510, CHEVY CHASE ANESTHESIA LLC, GERMANTOWN, MD 20875-1510
(301) 528-0222
(301) 515-4153
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0060410
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0060410
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005
BC BS
DC
01
—
5417
BC BS GRP
DC
01
—
613896 03
CAREFIRST BC BS
MD
01
—
P00110010
RR MEDICARE
MD
Enumeration date
10/26/2005
Last updated
09/11/2025
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