Kimbrough Ambulatory Care Center

NPI 1265596951 - Clinic/Center - 261QM0801X

NPI Details
NPI 1265596951
Enumeration Date 12/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NAHIDA NAHIDA
Position CLINICAL SOCIAL WORKER
Phone (301) 677-8586
Fax
Practice Location
2480 LLEWELLYN AVE
FORT MEADE MD, 20755-5800, US
Phone (301) 677-8586
Fax
Business Location
2480 LLEWELLYN AVE
FORT MEADE MD, 20755-5800, US
Phone (301) 677-8586
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State DO Columbia
License Number LC302917
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According to our database, Kimbrough Ambulatory Care Center NPI is 1265596951, taxonomy code is 261QM0801X and license number is LC302917, license state is located at DO Columbia. Kimbrough Ambulatory Care Center physically located at 2480 Llewellyn Ave, Fort Meade MD, 20755-5800. NPI Number 1033115704 has the healthcare provider type.

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1265596951 NPI number is provided on an as is basis without warranty of any kind. 1265596951 is maintained by the National Plan & Provider Enumeration System. The contents of Kimbrough Ambulatory Care Center are for informational purposes only.