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NPI Code Detail

MEDICARE: KEYPOINT HEALTH

MEDICARE: KEYPOINT HEALTH
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
1251K00000XPublic Health or Welfare Agency1041C0700XMD

General Provider Information

NPI Number : 1821002676
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEYPOINT HEALTH
Provider Business Mailing Address
First Line : 5842 WYNDHAM CIR APT 204
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3267
Country : US
Telephone Number : 410-715-4695
Fax Number :
Provider Business Practice Location Address
First Line : 135 N PARKE ST
Second Line :
City : ABERDEEN
State : MD
Zip : 21001-2428
Country : US
Telephone Number : 443-625-1600
Fax Number :
Authorized Official
Title or Position : THERAPIST/C&A COORDINATOR
Name : MS. STEPHANIE MARY KESTLER
Credential : LCSW-C
Telephone Number : 443-625-1600
Provider Enumeration Date : 07/28/2006
Last Update Date : 07/02/2008

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Directions to “KEYPOINT HEALTH ” Practice Location

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