Kaiser Foundation Health Plan of the Mid Atlantic States, INC

NPI #1457198111 in Largo, Maryland

Provider Information

NPI Number: 1457198111
Entity Type: Organization
Organization Name: Kaiser Foundation Health Plan of the Mid Atlantic States, INC
Subpart: Yes (part of a larger organization)
Parent Organization: KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Primary Specialty: Clinic/Center - Sleep Disorder Diagnostic
Enumeration Date: Jul 10, 2024
Last Updated: Jul 24, 2025

Practice Location

Address: 1221 MERCANTILE LN
City: Largo
State: Maryland
ZIP Code: 20774-5374
Phone: (301) 618-5500

Authorized Official

Name: COLLEEN SWINTON
Title: DIRECTOR, CREDENTIALING
Phone: (301) 257-2797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Sleep Disorder Diagnostic — Sleep Disorder Diagnostic	261QS1200X	Primary

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