Kennedy Krieger Associates

NPI #1962211953 in Fulton, Maryland

Provider Information

NPI Number: 1962211953
Entity Type: Organization
Organization Name: Kennedy Krieger Associates
Subpart: Yes (part of a larger organization)
Parent Organization: KENNEDY KRIEGER ASSOCIATES
Primary Specialty: Pediatrics
Enumeration Date: Jan 3, 2025
Last Updated: Jan 3, 2025

Practice Location

Address: 11830 W MARKET PL STE NQ
City: Fulton
State: Maryland
ZIP Code: 20759-2431
Phone: (443) 923-9327

Authorized Official

Name: LISA BADIE
Title: VICE PRESIDENT FINANCE
Phone: (443) 923-1812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Pediatrics	208000000X	Primary

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