Individual
KIMBERLY M ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 CATON AVE, BALTIMORE, MD 21229
(410) 368-2630
(410) 368-3549
Mailing address
PO BOX 21182, BALTIMORE, MD 21228
(410) 368-8640
(410) 368-8644
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R088204
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
447501100
—
MD
01
—
K51954288203
CAREFIRST
MD
01
—
W6620088
CAREFIRST
DC
Enumeration date
03/22/2006
Last updated
09/22/2011
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