Active NPI
Kindermender Laurel
- Urgent Care Clinic/Center
- Laurel, MD
National Provider Identifier
1275870669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- KINDERMENDER LAUREL
- Practice address
- 805 Washington Blvd S Ste a
Laurel, MD 20707-4611 - Phone
- (443) 492-4000
- NPI assigned
- Jan 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keyvan Rafei
- Title
- Medical Director
- Phone
- (443) 492-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
805 Washington Blvd S Ste a
Laurel, MD 20707-4611
Mailing address
10609 Harpoon HL
C/O Keyvan Rafei
Columbia, MD 21044-4157
Phone (240) 506-0739
National Provider Directory
National Provider DirectoryLocations
805 Washington Blvd S
Ste A
Laurel, MD 20707
Phone (443) 492-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357430400000",
"number": "1275870669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10609 HARPOON HL",
"address_2": "C/O KEYVAN RAFEI",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210444157",
"telephone_number": "240-506-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 WASHINGTON BLVD S STE A",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074611",
"telephone_number": "443-492-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDERMENDER LAUREL",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-06",
"last_updated": "2013-01-06",
"status": "A",
"authorized_official_last_name": "RAFEI",
"authorized_official_first_name": "KEYVAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "443-492-4000",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.