NPIMap

Leonard Kinland, M.D.

Individual provider Active NPI Family Medicine Physician · Brunswick, MD

NPI 1760465470 · NPPES record last updated Aug 2, 2016

Key facts

NPI
1760465470
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
D0022037 (MD)
Practice address
610 9TH Ave
Brunswick, MD 21716-1828
Phone
(301) 834-7188
Fax
(301) 834-7889
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0022037MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0022037 MD Yes

Addresses

Primary practice location

610 9TH Ave
Brunswick, MD 21716-1828

Mailing address

610 Solarex CT
Frederick, MD 21703-8624

Other identifiers

IdentifierTypeStateIssuer
926580502MedicaidMD
926580501MedicaidMD
926580505MedicaidMD

Other providers in Brunswick, MD

All providers in Brunswick, MD · Family Medicine Physician in Maryland

Sources for this page

Verify at the official NPI Registry.