NPI 1104128925

Kaiser Foundation Health Plan of the Mid Atlantic States, INC

Organisation Health Maintenance Organization Rockville, MD

Practice location

Address: 1396 Piccard Dr, Rockville, MD 20850-4302
Phone: (301) 641-1034
Mailing address: 4000 Garden City Dr, Hyattsville, MD 20785-2418

Authorised official

Name: Colleen Swinton
Title: Director, Credentialing
Phone: (301) 257-2797

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 10800 (MD)

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Registry record

NPI: 1104128925
Entity type: Organization
NPI issued: 30 Nov 2010
Record last updated: 24 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.