Kimberly Baldwin

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hebron, MD

NPI 1740698265 · NPPES record last updated Jul 28, 2014

Key facts

NPI
1740698265
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
B435469067990 (MD)
Practice address
26168 Bosch LN
Hebron, MD 21830-2214
Phone
(302) 233-0443
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
B435469067990MDMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X B435469067990 MD Yes

Addresses

Primary practice location

26168 Bosch LN
Hebron, MD 21830-2214

Mailing address

26168 Bosch LN
Hebron, MD 21830-2214
Phone (302) 233-0443

Other providers in Hebron, MD

All providers in Hebron, MD · Student in an Organized Health Care Education/Training Program in Maryland

Sources for this page

Verify at the official NPI Registry.