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NPI Code Detail

MEDICARE: MR. KEVIN PAUL SIMMS MD LC1039

MEDICARE: MR. KEVIN PAUL SIMMS MD LC1039
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLC1039MD

General Provider Information

NPI Number : 1356298368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN PAUL SIMMS MD LC1039
Provider Business Mailing Address
First Line : 18101 PRINCE PHILIP DR
Second Line :
City : OLNEY
State : MD
Zip : 20832-1514
Country : US
Telephone Number : 301-774-8882
Fax Number : 301-570-7422
Provider Business Practice Location Address
First Line : 18101 PRINCE PHILIP DR
Second Line :
City : OLNEY
State : MD
Zip : 20832-1514
Country : US
Telephone Number : 301-774-8870
Fax Number : 301-570-7422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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