MEDICARE: KERNAN ORTHOPAEDICS AND REHABILITION

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
1	261QM1300X	Multi-Specialty Clinic/Center		MD

General Provider Information

NPI Number	:	1639171127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KERNAN ORTHOPAEDICS AND REHABILITION

Provider Business Mailing Address
First Line	:	2200 KERNAN DR
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207-6665
Country	:	US
Telephone Number	:	410-448-2500
Fax Number	:	410-448-6737

Provider Business Practice Location Address
First Line	:	2200 KERNAN DR
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207-6665
Country	:	US
Telephone Number	:	410-448-2500
Fax Number	:	410-448-6737

Authorized Official
Title or Position	:	CFO
Name	:	MARINA BOGIN
Credential	:
Telephone Number	:	410-448-6289

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	06/27/2023

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Directions to “KERNAN ORTHOPAEDICS AND REHABILITION ” Practice Location

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