OrganizationActive
Kennedy Krieger Associates
NPI 1609685692 · Pediatrics Physician · Columbia, MD
Provider details
- NPI number
- 1609685692
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Kennedy Krieger Associates
- Organization subpart
- Yes
- Authorized official
- Lisa Badie, Vice President Finance(443) 923-1812
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9810 Patuxent Woods Dr
Columbia, MD 21046-1595
Phone: (443) 923-3895
Fax: (443) 923-4390
Street-level locationGet directions
Mailing address
Po Box 45944
Baltimore, MD 21297-5944
Registry dates
- Enumerated
- 2025-01-03
- Last updated
- 2025-01-03
- Certified
- 2025-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.