Healthcare Provider Details

I. General information

NPI: 1861723900
Provider Name (Legal Business Name): KMH HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 02/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 COLGATE DR SUITE 204
FOREST HILL MD
21050-2624
US

IV. Provider business mailing address

1498M REISTERSTOWN RD SUITE 364
PIKESVILLE MD
21208-3842
US

V. Phone/Fax

Practice location:
  • Phone: 877-564-5227
  • Fax: 877-564-3297
Mailing address:
  • Phone: 877-564-5227
  • Fax: 877-564-3297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NEENA KANWAR
Title or Position: PRESIDENT & CEO
Credential:
Phone: 877-564-5227