Graduated: 2004
NPI: 1356516298
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7190 CRESTWOOD BLVD
FREDERICK, MD 217037314
2405291700
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
10810 CONNECTICUT AVE
KENSINGTON, MD 208952138
3019297100
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 221924644
7032573000
Source: CMS National Downloadable File, September 2026.