Individual
KIM JONES-FEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
05
—
145091300
—
MD
01
—
23320001
BC DC/METRO
DC
01
—
54807209
BC MD
MD
01
—
655605
UNITED HEALTHCARE
MD
Enumeration date
06/30/2006
Last updated
04/29/2024
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