KID'S NEURO NPI 1396555439

NPI Information

  • NPI: 1396555439
  • Provider Name: KID'S NEURO
  • Classification: Pediatrics - 2080P0008X
  • Specialization: Neurodevelopmental Disabilities
  • Entity Type: Organization
  • Address: 7912 DECLARATION LN
    POTOMAC, MD
    ZIP 20854
  • Phone: (301) 320-6665

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NPI Details

KID'S NEURO is a neurodevelopmental disabilities pediatrics in Potomac, MD. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. KID'S NEURO NPI is 1396555439. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7912 DECLARATION LN
POTOMAC, MD
ZIP 20854-754
Phone: (301) 320-6665
Fax: (301) 273-2773

The provider's authorized official is Joyce Crenshaw .
The authorized official title is Billing Supervisor and has the following contact phone number (301) 841-7251.

The enumeration date for this NPI number is 1/10/2025 and was last updated on 1/10/2025.

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
12080P0008XPediatricsNeurodevelopmental DisabilitiesYes

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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