Provider Demographics
NPI:1578961009
Name:CAREKINETICS,LLC
Entity Type:Organization
Organization Name:CAREKINETICS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:CECELIA
Authorized Official - Last Name:WOODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-909-1098
Mailing Address - Street 1:2822 CROSS COUNTRY CT
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-1319
Mailing Address - Country:US
Mailing Address - Phone:410-908-1098
Mailing Address - Fax:
Practice Address - Street 1:2822 CROSS COUNTRY CT
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-1319
Practice Address - Country:US
Practice Address - Phone:410-908-1098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker