| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KINGDOM MEDICINE PA | 1134308802 | 2024-07-07 |
The organization Kingdom Medicine Pa is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1134308802. Registration indicates Kingdom Medicine Pa is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| Address | City / State | Phone / Fax |
|---|---|---|
| 1838 Greene Tree Rd Ste 300 | Pikesville, MD 21208 | 4106530366 / 4106532527 |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | |
| 193400000X SING | Group Code |
| 693604100 | MEDICAID | MD |