MEDICARE: CAREKINETICS,LLC

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	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1578961009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREKINETICS,LLC

Provider Business Mailing Address
First Line	:	2822 CROSS COUNTRY CT
Second Line	:
City	:	FALLSTON
State	:	MD
Zip	:	21047-1319
Country	:	US
Telephone Number	:	410-908-1098
Fax Number	:

Provider Business Practice Location Address
First Line	:	2822 CROSS COUNTRY CT
Second Line	:
City	:	FALLSTON
State	:	MD
Zip	:	21047-1319
Country	:	US
Telephone Number	:	410-908-1098
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	ALICIA CECELIA WOODMAN
Credential	:
Telephone Number	:	410-909-1098

Provider Enumeration Date	:	12/16/2014
Last Update Date	:	12/16/2014

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