Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cknmg

Organization Family Medicine Physician · NPI 1902763162

Cknmg is a Family Medicine Physician in Baltimore, Maryland. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1501 S Clinton St
Baltimore, MD 21224-5730
Phone: (866) 233-6925
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1902763162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Favazza — Ceo · (410) 205-1487
Other names Closeknit - Pcp2
NPI enumeratedJanuary 8, 2026
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address1501 S Clinton St, Baltimore, MD 21224-5730

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