Organization
KIM JONES-FEARING M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM JONES-FEARING M.D. (MEDICAL DIRECTOR)
(301) 421-9112
Entity
Organization
Contact information
Practice address
11221 KINSALE CT, ELLICOTT CITY, MD 21042-6131
(410) 419-3769
Mailing address
11221 KINSALE CT, ELLICOTT CITY, MD 21042-6131
(410) 419-3769
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D46124
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23320001
BC DC/METRO
DC
05
—
413271800
—
MD
01
—
655605
UNITED HEALTHCARE
MD
01
—
65FCKB
BC MD
MD
Enumeration date
02/21/2006
Last updated
05/21/2024
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