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KENNEDY KRIEGER EDUCATION AND COMMUNICATION NPI 1639341647


NPI Information

NPI: 1639341647
Provider Name: KENNEDY KRIEGER EDUCATION AND COMMUNICATION

Doing Business As: KENNEDY KRIEGER SCHOOL

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1750 E FAIRMOUNT AVE
KENNEDY KRIEGER SCHOOL
BALTIMORE, MD
ZIP 21231
Phone: (443) 923-9200
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KENNEDY KRIEGER EDUCATION AND COMMUNICATION is a developmental disabilities clinic center in Baltimore, MD. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). KENNEDY KRIEGER EDUCATION AND COMMUNICATION NPI is 1639341647. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kennedy Krieger School.

The provider's business location address is:

1750 E FAIRMOUNT AVE
KENNEDY KRIEGER SCHOOL
BALTIMORE, MD
ZIP 21231-534
Phone: (443) 923-9200
Fax: (443) 923-9405

The provider's authorized official is Michael J Neuman .
The authorized official title is Vice President Finance and has the following contact phone number (443) 923-1810.

The enumeration date for this NPI number is 3/31/2008 and was last updated on 7/17/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041S0200XSocial WorkerSchoolMARYLANDNo
2163WC0400XRegistered NurseCase ManagementMARYLANDNo
3225100000XPhysical TherapistMARYLANDNo
4225X00000XOccupational TherapistMARYLANDNo
5235Z00000XSpeech-Language PathologistMARYLANDNo
6261QD1600XClinic/CenterDevelopmental Disabilities30-036MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11754815 05MEDICAIDMARYLAND

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: 4/28/2024

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