KADDIE KALLON NPI 1427519404

NPI Information

NPI: 1427519404
Provider Name: KADDIE KALLON
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
9524 MUIRKIRK RD APT 102
LAUREL, MD
ZIP 20708
Phone: (240) 899-2928
Get Directions

Kaddie Kallon is a psychiatric/mental health nurse practitioner in Laurel, MD with 6 years of experience. Kaddie Kallon NPI is 1427519404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9524 MUIRKIRK RD APT 102
LAUREL, MD
ZIP 20708-737
Phone: (240) 899-2928

The NPI 1427519404 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2019 and was last updated on 6/9/2023.

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	363LP2300X	Nurse Practitioner	Primary Care	R179511	MARYLAND	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R179511	MARYLAND	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: 5/5/2024

NPI Synchronization or Removal

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