Provider First Line Business Practice Location Address:
707 NORTH BROADWAY
Provider Second Line Business Practice Location Address:
KENNEDY KRIEGER INSTITUTE
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-923-3240
Provider Business Practice Location Address Fax Number:
240-379-6710
Provider Enumeration Date:
12/13/2009