Funk, Kayla Marie

Funk, Kayla Marie is an individual health care provider with primary practice located at 9000 Franklin Square Drive , Baltimore MD 21237. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Funk, Kayla Marie can be contacted via phone (443) 777-8246.

Contact Information

Primary practice address
9000 Franklin Square Drive Baltimore MD 21237
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Maryland

Profile Details

NPI number 1386173771
LBN Legal business name Funk, Kayla Marie
Credentials Certified Health Education Specialist (CHES)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2017
Last updated Jun 8th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386173771 NPPES
Maryland MEDICAID 77792

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