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Organization

NURSE PRACTITIONER ON CALL LLC

Active
Parent organization
NURSE PRACTITIONER ON CALL LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NURSE PRACTITIONER ON CALL LLC
Authorized official
KELVINDA KAMARA CRNP (OWNER)
(240) 619-9180
Entity
Organization

Contact information

Practice address
1800 N CHARLES ST STE 804, BALTIMORE, MD 21201-5987
(240) 898-1810
Mailing address
1002 CORTANA CT, SEVERN, MD 21144-1184
(240) 619-9180

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
258824200
MD
05
585449100
MD
Enumeration date
06/30/2020
Last updated
07/06/2022
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