Kacc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KACC

Practice address

2480 Llewellyn Ave
Fort Meade, MD 20755-5800

Phone

(301) 677-8949

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Clarissa Harding

Title

Registered Nurse

Phone

(301) 677-8949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851441695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYNE AVENUE",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "20755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207555800",
            "telephone_number": "301-677-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KACC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "301-677-8949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Jeong, DDS
• Kenneth M Johnson, LPN
• Adrian E Jones, PA-C
• Teresa Helen Jones, LISW
• Bonita Louise Jude, MD
• Kathryn L Kassim, MS, OTR/L, CHT
• Adam T Keres, D.C.
• Chunhui J Kim, RN, BSN, COHN-S
• Han S. Kim, DMD
• Jiye Kim, PHARMD

• Clinic/Center in Fort Meade, MD
• Providers in Fort Meade, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.