KMH MEDICAL SERVICE LLC (NPI# 1982125779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982125779 |
Entity Type | Organization |
Organization Name | KMH MEDICAL SERVICE LLC |
Practice Address |
8508 Loch Raven Blvd Ste E Towson MD 21286-2354 |
Mailing Address |
8508 Loch Raven Blvd Ste E Baltimore MD 21286-2354 |
Practice Telephone | 7174348264 |
Practice Fax Number | 4433787174 |
Mailing Telephone | 7174348264 |
Mailing Fax Number | 4433787174 |
Enumeration Date | 2017-06-30 |
Last Update Date | 2017-06-30 |
Authorized Official Name | KELLY MARIE HEYWARD (CRNP) |
Authorized Official Telephone | 7174348264 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
8508 LOCH RAVEN BLVD STE E |
City | TOWSON |
State | MD |
Zip Code | 21286-2354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
Find all providers in zip 21286 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053755140 | Emily Theresa Schultz | Nurse Practitioner | 800 Southerly Rd, Towson, MD 21286-8403 | 2013-04-19 |
1447462296 | Sharon P. Fisher | Nurse Practitioner | 8415 Bellona Ln Ste 109, Towson, MD 21204-2015 | 2007-05-04 |
1003848250 | Linda Duerr Sindler | Nurse Practitioner | Towson Univ Dowell Health Ctr, 8000 York Rd, Towson, MD 21252-0001 | 2006-07-07 |
1851956023 | Olapeju Odu | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2019-05-03 |
1598236614 | Adaku Angela Onyembi | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2018-12-16 |
1952892051 | Michelle Maybell Kirwan | Nurse Practitioner | 6701 N Charles St Ste 4105, Towson, MD 21204-6881 | 2018-05-23 |
1124516497 | Suma Varghese | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2018-04-23 |
1609260132 | Jessica Kallaugher | Nurse Practitioner | 8322 Bellona Ave, Suite 330, Towson, MD 21204-2065 | 2015-03-23 |
1881094647 | Erin Elizabeth Cronin | Nurse Practitioner | 7501 Osler Dr, Building A, Suite 102, Towson, MD 21204-7733 | 2014-08-29 |
1770903601 | Maria Baxter | Nurse Practitioner | 6701 N Charles St, Suite 4105, Towson, MD 21204-6808 | 2014-04-17 |
Find all providers in TOWSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.