1588823611 NPI number — COURTNEY ALEXANDRA MILNE-KROHN M.D

Table of content: COURTNEY ALEXANDRA MILNE-KROHN M.D (NPI 1588823611)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588823611 NPI number — COURTNEY ALEXANDRA MILNE-KROHN M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILNE-KROHN
Provider First Name:
COURTNEY
Provider Middle Name:
ALEXANDRA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MILNE
Provider Other First Name:
COURTNEY
Provider Other Middle Name:
ALEXANDRA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1588823611
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
116 DEFENSE HWY
Provider Second Line Business Mailing Address:
SUITE 400
Provider Business Mailing Address City Name:
ANNAPOLIS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21401-7027
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-897-9841
Provider Business Mailing Address Fax Number:
410-897-9852

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
277 PENINSULA FARM RD STE K&L
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARNOLD
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21012-1018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-989-8833
Provider Business Practice Location Address Fax Number:
410-975-5641
Provider Enumeration Date:
06/04/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  D0068693 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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