Kaiser Foundation Health Plan of the Mid Atlantic States, INC

NPI #1588903991 in Largo, Maryland

Provider Information

NPI Number: 1588903991
Entity Type: Organization
Organization Name: Kaiser Foundation Health Plan of the Mid Atlantic States, INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Feb 5, 2013
Last Updated: Jul 25, 2025

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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