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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