Individual
DR. KEVIN M MACREADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1000
Mailing address
PO BOX 64262, BALTIMORE, MD 21264-4262
(443) 481-6573
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0047960
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2502547
AETNA HMO
MD
05
—
507000702 939250500
—
MD
01
—
F125 0001
CAREFIRST BCBS
DC
01
—
LU71AN 82048903
CAREFIRST BCBS
MD
Enumeration date
01/05/2006
Last updated
10/19/2007
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