Mcdonald, Kimla Raye

Mcdonald, Kimla Raye is an individual health care provider with primary practice located at 2003 Medical Pkwy Suite G50, Annapolis MD 21401-7992. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mcdonald, Kimla Raye can be contacted via phone (410) 573-1094.

Contact Information

Primary practice address
2003 Medical Pkwy Suite G50 Annapolis MD 21401-7992
Phone: (410) 573-1094
Fax: (410) 573-1097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R161100 Maryland

Profile Details

NPI number 1578652723
LBN Legal business name Mcdonald, Kimla Raye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Dec 20th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578652723 NPPES
Other 88913701 BCBS
Other 0009 BCBS
Other 315314 BCBS
Other 1396990 BCBS
MEDICAID 410036100 BCBS
Other 612176400 BCBS

Popular Providers