NPI 1396087847

Jason Kyle Federline, DO

Practitioner Family Medicine Physician Owings Mills, MD

Practice location

Address: 10210 Reisterstown Rd, Owings Mills, MD 21117-3606
Phone: (410) 902-6776
Mailing address: 111 W High St STE 314, Elkton, MD 21921-8617

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence H0084148 (MD)

Other Family Medicine providers in Maryland →

Registry record

NPI: 1396087847
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2013
Record last updated: 14 Sep 2022

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.