Organization
KENNEDY KRIEGER EDUCATION AND COMMUNITY
Active
Organization
KENNEDY KRIEGER EDUCATION AND COMMUNITY
Active
Other names
Kennedy Krieger School (Central High School)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE J NEUMAN (VICE PRESIDENT FINANCE)
(443) 923-1810
Entity
Organization
Contact information
Practice address
200 CABIN BRANCH RD., CAPITAL HEIGHTS, MD 20743
(443) 923-9200
(443) 923-1875
Mailing address
P.O. BOX 744865, ATLANTA, GA 30374
(443) 923-1886
(443) 923-1895
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
—
—
163WC0400X
Case Management Registered Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
30-036
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1754815 01
—
MD
Enumeration date
12/08/2014
Last updated
09/16/2020
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