NPI 1114291234

Kaiser Permanente

Organisation Exclusive Provider Organization Kensington, MD

Practice location

Address: 10500 Summit Avenue, Kensington, MD 20895
Phone: (301) 897-2500

Authorised official

Name: Barry Lee Forrest
Title: Psychotherapist II
Phone: (240) 620-1399

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 13240 (MD)

Other Exclusive Provider Organization providers in Maryland →

Registry record

NPI: 1114291234
Entity type: Organization
NPI issued: 7 Mar 2012
Record last updated: 7 Mar 2012

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.