Kaiser Foundation Health Plan of the Mid Atlantic States, INC

NPI #1689732174 in Largo, Maryland

Provider Information

NPI Number: 1689732174
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 25, 2025

Practice Location

Address: 1221 MERCANTILE LANE
City: Largo
State: Maryland
ZIP Code: 20774-5374
Phone: (301) 816-5552

Authorized Official

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

Specialties & Taxonomy Codes

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

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