Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | D0071307 | MD |
Y | 207QS0010X | Family Doctor - Sports Medicine | D0071307 | MD |
NPI | 1053351007 |
---|---|
Provider Name | Kari E Kindschi |
First Address | Baltimore, MD 21218-2867 |
Second Address | Baltimore, MD 21218-2867 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 08/09/2010 |