Healthcare Provider Details

I. General information

NPI: 1154281723
Provider Name (Legal Business Name): RACHAEL MILANA KOBYLT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHAEL KINMARTIN

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 BESTGATE RD
ANNAPOLIS MD
21401-3016
US

IV. Provider business mailing address

4907 RUGBY AVE
BETHESDA MD
20814-3029
US

V. Phone/Fax

Practice location:
  • Phone: 410-266-1400
  • Fax:
Mailing address:
  • Phone:
  • Fax: 772-404-7942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number84821
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR277412
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: