Organization
KENNEDY KRIEGER EDUCATION AND COMMUNITY SERVICES, INC.
Active
Other names
Kennedy Krieger 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
4400 SOLOMONS ISLAND RD., ANNE ARUNDEL II SOUTHERN SCHOOL, HARWOOD, MD 20776
(410) 235-4801
(443) 923-9405
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
—
MH
163WC0400X
Case Management Registered Nurse
—
MD
225100000X
Physical Therapist
—
MD
225X00000X
Occupational Therapist
—
MD
235Z00000X
Speech-Language Pathologist
—
MD
261QD1600X
Developmental Disabilities Clinic/Center
Primary
30-036
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1754815 07
—
MD
Enumeration date
03/31/2008
Last updated
09/16/2020
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