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NPI Code Detail

MEDICARE: K PRIMARY HEALTH & URGENT CARE LLC

MEDICARE: K PRIMARY HEALTH & URGENT CARE 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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1972383347
Entity Type Code : Organization
Provider Name (Legal Business Name) : K PRIMARY HEALTH & URGENT CARE LLC
Provider Business Mailing Address
First Line : 4600 POWDER MILL RD STE 450
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-2686
Country : US
Telephone Number : 240-701-9097
Fax Number : 833-471-0372
Provider Business Practice Location Address
First Line : 4600 POWDER MILL RD STE 450
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-2686
Country : US
Telephone Number : 240-701-9097
Fax Number : 833-471-0372
Authorized Official
Title or Position : OWNER
Name : MRS. FADILA KAKAYE
Credential :
Telephone Number : 124-044-4951
Provider Enumeration Date : 10/03/2023
Last Update Date : 12/19/2023

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Directions to “K PRIMARY HEALTH & URGENT CARE LLC ” Practice Location

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