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NPI Code Detail

MEDICARE: DR. KATHLEEN SARAH KREJCI MD

MEDICARE:  DR. KATHLEEN SARAH KREJCI  MD
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
1208000000XPediatrics Physician43310MN

General Provider Information

NPI Number : 1114912730
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN SARAH KREJCI MD
Provider Business Mailing Address
First Line : 965 RUSTLING OAKS DR
Second Line :
City : MILLERSVILLE
State : MD
Zip : 21108-1800
Country : US
Telephone Number : 410-987-4176
Fax Number :
Provider Business Practice Location Address
First Line : 3100 MOUNTAIN RD
Second Line : PEDIATRIC PLACE
City : PASADENA
State : MD
Zip : 21122-2018
Country : US
Telephone Number : 410-360-4446
Fax Number : 410-360-4449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 11/13/2009

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Directions to “ DR. KATHLEEN SARAH KREJCI MD” Practice Location

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