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Organization

SHEPHERD'S CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA KEAMY M.D. (MEDICAL DIRECTOR)
(410) 467-7140
Entity
Organization

Contact information

Practice address
2800 KIRK AVE, BALTIMORE, MD 21218-3647
(410) 467-7140
(410) 467-7141
Mailing address
2800 KIRK AVE, BALTIMORE, MD 21218-3647
(410) 467-7140
(410) 467-7141

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
08/26/2011
Last updated
08/26/2011
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