Kindred Hair & Skin Center, LLC

Key facts

NPI: 1992220826
Entity type: Organization (NPI type 2)
Primary specialty: Dermatology Physician 207N00000X
License: D74753 (MD)
Legal business name: KINDRED HAIR & SKIN CENTER, LLC
Practice address: 11125 Stratfield CT
Marriottsville, MD 21104-1650
Phone: (443) 424-7754
Fax: (443) 424-7755
NPI assigned: Aug 11, 2017
Organization subpart: No

Authorized official

Name: Dr. Chesahna Kindred, MD, MBA
Title: President
Phone: (443) 424-7754

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Chesahna Kindred, MD Dermatology Physician · Marriottsville, MD · NPI 1518193630

Medicare reassignment MD
Beverly Ann Johnson, MD Dermatology Physician · Suffolk, VA · NPI 1255434742

Medicare reassignment MD
Karyn Yates, PA-C Physician Assistant · Marriottsville, MD · NPI 1386571552

NPD
Courtney Green Physician Assistant · Odenton, MD · NPI 1457993222

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20171206001739	MD	Part B Supplier - Clinic/Group Practice	6709143332	Receives reassigned benefits from 2 practitioners Practice locations: Columbia, MD; Marriottsville, MD

National Provider Directory

Locations

8900 Columbia 100 Pkwy
Ste F
Columbia, MD 21045
Phone (410) 740-7444

11125 Stratfield Ct
Marriottsvl, MD 21104
Phone (443) 424-7754

11125 Stratfield Ct
Ste F
Marriottsvl, MD 21104

Interoperability endpoints

FHIR API: https://app.meldrx.com/api/fhir/ez_00182

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dermatology Physician Group: 193400000X SINGLE SPECIALTY GROUP	207N00000X	D74753	MD	Yes

Addresses

Primary practice location

11125 Stratfield CT
Marriottsville, MD 21104-1650

Mailing address

11125 Stratfield CT
Marriottsville, MD 21104-1650
Phone (443) 424-7754

Other providers in Marriottsville, MD

All providers in Marriottsville, MD · Dermatology Physician in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.