Organization
KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC.
Active
Other names
Kennedy Krieger Institute
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BADIE (AVP, APPLICATION SUPPORT)
(443) 923-1812
Entity
Organization
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-1870
(443) 923-9405
Mailing address
PO BOX 45944, BALTIMORE, MD 21297-5944
(443) 923-1886
(443) 923-1875
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
30036
MD
281PC2000X
Children's Chronic Disease Hospital
—
—
282E00000X
Long Term Care Hospital
30-036
MD
283Q00000X
Psychiatric Hospital
—
—
283X00000X
Rehabilitation Hospital
—
—
283XC2000X
Children's Rehabilitation Hospital
—
—
284300000X
Special Hospital
30-036
MD
291U00000X
Clinical Medical Laboratory
802
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59351301
BLUE CROSS OF MARYLAND
MD
05
—
955675300
—
MD
01
—
MD9
BLUE CROSS FEDERAL
MD
Enumeration date
09/20/2006
Last updated
01/19/2024
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