Kaiser Foundation Health Plan of the Mid Atlantic States, INC

NPI #1518025071 in White Marsh, Maryland

Provider Information

NPI Number: 1518025071
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: Pharmacy - Managed Care Organization Pharmacy
Enumeration Date: Dec 5, 2006
Last Updated: Jul 24, 2025

Practice Location

Address: 4920 CAMPBELL BOULEVARD
City: White Marsh
State: Maryland
ZIP Code: 21236-5916
Phone: (410) 933-7626

Authorized Official

Name: COLLEEN E SWINTON
Title: CREDENTIALING DIRECTOR
Phone: (301) 257-2729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Managed Care Organization Pharmacy — Managed Care Organization Pharmacy	3336M0003X	Primary

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