Organization
KMH MEDICAL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE HEYWARD (CRNP)
(717) 434-8264
Entity
Organization
Contact information
Practice address
5401 BELAIR RD BSMT, BALTIMORE, MD 21206-4266
(667) 303-3700
Mailing address
5401 BELAIR RD BSMT, BALTIMORE, MD 21206-4266
(667) 303-3700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
05/27/2025
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