NPI 1467230557

Kena Rae LLC

Organisation Health Maintenance Organization Glen Burnie, MD

Practice location

Address: 7310 Ritchie Hwy STE 200 #1018, Glen Burnie, MD 21061
Phone: (800) 546-1107

Authorised official

Name: Anthony Bastone
Title: Chief Executive Officer
Phone: (302) 765-7802

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Maryland →

Public Health or Welfare Agency

Agencies Taxonomy 251K00000X

Other Public Health or Welfare providers in Maryland →

Registry record

NPI: 1467230557
Entity type: Organization
NPI issued: 19 Sep 2023
Record last updated: 21 Sep 2023

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.