Organization Active NPI

KMH Medical Service LLC

  • Adult Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1982125779
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
KMH MEDICAL SERVICE LLC
Practice address
5401 Belair Rd BSMT
Baltimore, MD 21206-4266
Phone
(667) 303-3700
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Kelly Marie Heyward
Title
CRNP
Phone
(717) 434-8264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

5401 Belair Rd BSMT
Baltimore, MD 21206-4266

Mailing address

5401 Belair Rd BSMT
Baltimore, MD 21206-4266
Phone (667) 303-3700

National Provider Directory

National Provider Directory

Locations

5401 Belair Rd
Bsmt
Baltimore, MD 21206
Phone (667) 303-3700

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1982125779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 BELAIR RD BSMT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064266",
            "telephone_number": "667-303-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 BELAIR RD BSMT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064266",
            "telephone_number": "667-303-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMH MEDICAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "HEYWARD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "717-434-8264"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.