Provider Demographics
NPI:1366648925
Name:KENT COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:KENT COUNTY HEALTH DEPARTMENT
Other - Org Name:KENT COUNTY BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL ACCOUNTS TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-778-2616
Mailing Address - Street 1:114A S LYNCHBURG ST
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-1115
Mailing Address - Country:US
Mailing Address - Phone:410-778-2616
Mailing Address - Fax:410-778-7052
Practice Address - Street 1:114A S LYNCHBURG ST
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1115
Practice Address - Country:US
Practice Address - Phone:410-778-2616
Practice Address - Fax:410-778-7052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0027046251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare