Organization
KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC.
Active
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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