SHEPHERD'S CLINIC NPI 1962782532

NPI Information

SHEPHERD'S CLINIC is a community health clinic center in Baltimore, MD. SHEPHERD'S CLINIC NPI is 1962782532. The provider is registered as an organization entity type.

The provider's business location address is:

2800 KIRK AVE
BALTIMORE, MD
ZIP 21218-647
Phone: (410) 467-7140
Fax: (410) 467-7141

The provider's authorized official is Lisa Keamy .
The authorized official title is Medical Director and has the following contact phone number (410) 467-7140.

The CLIA number assigned to this NPI record is 21D0972004 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/26/2011 and was last updated on 8/26/2011.

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:

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