KMH Medical Service LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KMH MEDICAL SERVICE LLC

Practice address

5401 Belair Rd
Baltimore, MD 21206-4265

Phone

(717) 577-2736

NPI assigned

May 21, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kelly Heyward, CRNPNPI 1225487861

Title

Ceo

Phone

(717) 577-2736

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Marie Heyward, CRNP

  • Adult Health Nurse Practitioner
  • Columbia, MD
  • NPI 1225487861
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1487493367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 COLD BOTTOM RD",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529524",
            "telephone_number": "717-577-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064265",
            "telephone_number": "717-577-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMH MEDICAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "HEYWARD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-577-2736",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Klugman, MD, MSC
• Mindy I Klugman, CRNP-ACP
• Gary Klunk, RN, BSN
• Morgan Klunk
• Michael Freddie Klupt, DDS
• KMH Medical Service LLC
• Camille Therese Knable
• Julia Flora Knach, LCPC, LCADC
• Emily Knapp, PHARMD
• Janet Knapp

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.