Healthcare Provider Details

I. General information

NPI: 1154225894
Provider Name (Legal Business Name): MR. KEVIN FRANKLIN JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7939 HONEYGO BLVD
NOTTINGHAM MD
21236-4931
US

IV. Provider business mailing address

3 ALTON CT
ROSEDALE MD
21237-4527
US

V. Phone/Fax

Practice location:
  • Phone: 443-835-4825
  • Fax:
Mailing address:
  • Phone: 410-340-9368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: