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NPI Code Detail

MEDICARE: MICHELLE ELLEN KALENDEK CRNP

MEDICARE: MICHELLE ELLEN KALENDEK CRNP
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
1363LG0600XGerontology Nurse PractitionerR097104MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
162223601OTHERMDCAREFIRST BC OF MD IND #
20082OTHERDCCAREFIRST BC OF NCA IND #

General Provider Information

NPI Number : 1942278858
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ELLEN KALENDEK CRNP
Provider Business Mailing Address
First Line : 9108 SMITH AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21236-1710
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7700 YORK RD
Second Line :
City : TOWSON
State : MD
Zip : 21204-7513
Country : US
Telephone Number : 410-821-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 07/08/2007

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