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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIDDIE KOACH PRP LLC.

Active Organization

KIDDIE KOACH PRP LLC. is a Community/Behavioral Health organization located in RANDALLSTOWN, Maryland. NPI 1376000158 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · RANDALLSTOWN, MD

Registration Details

NPI Number
1376000158
Provider Type
Organization
NPI Issued
Feb 27, 2019 (7.4753386049412 yrs)
Last Updated
Nov 12, 2020

Practice Information

Address
9922 LIBERTY RD
RANDALLSTOWN, MD, 211331804
Browse MD providers · Browse ZIP 21133
Phone
4436573345
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Organizations in RANDALLSTOWN, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.