Organization Active NPI

KHC Group PC

  • Dermatopathology (Pathology) Physician
  • La Plata, MD
National Provider Identifier
1770717910
Registry record updated May 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
D58534 Issued in MD
Legal business name
KHC GROUP PC
Practice address
406 Charles St Ste 200
La Plata, MD 20646-3526
Phone
(410) 546-6402
NPI assigned
May 2, 2009
Last updated
May 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2009

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

Authorized official

Name
Kimberly H Cuesta
Title
President
Phone
(410) 546-6402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X D58534 MD Primary

Addresses

Primary practice location

406 Charles St Ste 200
La Plata, MD 20646-3526

Mailing address

406 Charles St Ste 200
La Plata, MD 20646-3526

National Provider Directory

National Provider Directory

Locations

406 Charles St
Ste 200
La Plata, MD 20646
Phone (240) 217-8316

NPI Registry JSON

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

{
    "created_epoch": "1241222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241222400000",
    "number": "1770717910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 CHARLES ST STE 200",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CHARLES ST STE 200",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463526",
            "telephone_number": "410-546-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHC GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-02",
        "last_updated": "2009-05-02",
        "status": "A",
        "authorized_official_last_name": "CUESTA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-546-6402"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MD",
            "license": "D58534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2009; 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.