Kennedy Krieger Institute

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

802 Issued in MD

Legal business name

KENNEDY KRIEGER INSTITUTE

Practice address

707 N Broadway
Kennedy Krieger Institute
Baltimore, MD 21205-1832

Phone

(443) 923-9400

Fax

(443) 923-9405

NPI assigned

Mar 29, 2010

Organization subpart

Yes

Parent organization

KENNEDY KRIGER CHILDREN'S HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Michael J Neuman

Title

Senior VP Finance

Phone

(443) 923-1810

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1649595141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 E BIDDLE ST",
            "address_2": "PATIENT ACCOUNTING HELENA PORTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133939",
            "telephone_number": "443-923-1886",
            "fax_number": "443-923-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N BROADWAY",
            "address_2": "KENNEDY KRIEGER INSTITUTE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051832",
            "telephone_number": "443-923-9400",
            "fax_number": "443-923-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY KRIEGER INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNEDY KRIGER CHILDREN'S HOSPITAL",
        "enumeration_date": "2010-03-29",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "443-923-1810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Krieger Education and Community Services, Inc.
• Kennedy Krieger Education and Community Services, Inc.
• Kennedy Krieger Education and Community Services, Inc.
• Kennedy Krieger Education and Community Services, Inc.
• Kennedy Krieger Institute
• Kennedy Krieger Institute
• Kennedy Krieger Institute
• Kennedy Krieger Institute
• Alvin Kennedy, MD
• Ayanna Kennedy

• Clinical Medical Laboratory in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.