KINDERHEALTH LLC NPI 1396237673

NPI Information

  • NPI: 1396237673
  • Provider Name: KINDERHEALTH, LLC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • CLIA Number: 21D2162131
  • Address: 175 W OSTEND ST STE 102
    BALTIMORE, MD
    ZIP 21230
  • Phone: (410) 697-5357

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NPI Details

KINDERHEALTH, LLC is a pediatrics nurse practitioner in Baltimore, MD. KINDERHEALTH, LLC NPI is 1396237673. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

175 W OSTEND ST STE 102
BALTIMORE, MD
ZIP 21230-792
Phone: (410) 697-5357
Fax: (410) 457-9626

The provider's authorized official is Odunlade Olalere .
The authorized official title is Pediatric Nurse Practitioner and has the following contact phone number (410) 697-5357.

The CLIA number assigned to this NPI record is 21D2162131 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2018 and was last updated on 10/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1335165300MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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