Active NPI
Kaile Li
- Specialist
- Hagerstown, MD
National Provider Identifier
1336484161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 11110 Medical Campus Rd
Suite 129
Hagerstown, MD 21742-6700 - Phone
- (301) 665-4663
- NPI assigned
- Dec 5, 2012
- Last updated
- Dec 5, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
11110 Medical Campus Rd
Suite 129
Hagerstown, MD 21742-6700
Mailing address
11110 Medical Campus Raod
Suite 129
Hagerstown, MD 21742
Phone (301) 665-4663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1336484161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RAOD",
"address_2": "SUITE 129",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21742",
"telephone_number": "301-665-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD",
"address_2": "SUITE 129",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426700",
"telephone_number": "301-665-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "KAILE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-05",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.