Kristin Centeno
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Adamstown, MD
NPI 1235601287 · NPPES record last updated Dec 31, 2018
Key facts
- NPI
- 1235601287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- A4606 (MD)
- Practice address
- 3200 Baker Cir
Adamstown, MD 21710-9653 - Phone
- (240) 308-4897
- NPI assigned
- Dec 31, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A4606 | MD | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A4606 | MD | Yes |
Addresses
Primary practice location
3200 Baker Cir
Adamstown, MD 21710-9653
Mailing address
2433 Lakeside Dr
Frederick, MD 21702-3157
Phone (240) 308-4897
Other practice location 1
163 Thomas Johnson Dr
Frederick, MD 21702-4673
Phone (240) 566-3132
Other providers in Adamstown, MD
- Elizabeth Elviria Anderson
- Kimberly Renee Barr
- Pamela Bravo
- Christina Brockett
- Holly Burkot
- Comy Fidelity LLC
- Brenda Crist
- Jodi Depasquale
- Kirk Druey
- Jacqueline Ellis
All providers in Adamstown, MD · Physical Medicine & Rehabilitation Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.