Individual
MS. MICHELLE L. KUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
419 W REDWOOD ST, SUITE 500, BALTIMORE, MD 21201-1734
(410) 328-6640
(410) 328-2648
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D0059323
DC
207V00000X
Obstetrics & Gynecology Physician
Primary
D0059323
MD
207VM0101X
Maternal & Fetal Medicine Physician
D0059323
DC
207VM0101X
Maternal & Fetal Medicine Physician
D0059323
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407422000
—
MD
Enumeration date
07/10/2006
Last updated
07/20/2023
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