KWANZA CLINIC LLC NPI 1396539987

NPI Information

NPI: 1396539987
Provider Name: KWANZA CLINIC LLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 303 CHERRYSTONE CT
REISTERSTOWN, MD
ZIP 21136
Phone: (757) 667-9549

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NPI Details

KWANZA CLINIC LLC is a primary care clinic center in Reisterstown, MD. KWANZA CLINIC LLC NPI is 1396539987. The provider is registered as an organization entity type.

The provider's business location address is:

303 CHERRYSTONE CT
REISTERSTOWN, MD
ZIP 21136-211
Phone: (757) 667-9549
Fax: (410) 834-5631

The provider's authorized official is Edwin Juma .
The authorized official title is Crnp and has the following contact phone number (757) 667-9549.

The enumeration date for this NPI number is 4/8/2025 and was last updated on 4/8/2025.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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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