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

Potomac Spine, LLC

Organization Orthopaedic Surgery Physician · NPI 1083158885

Potomac Spine, LLC is an Orthopaedic Surgery Physician in Frederick, Maryland. Works from 4 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1050 Key Pkwy Ste 103
Frederick, MD 21702-4496
Phone: (240) 629-3982
Show map & directions

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

Additional practice locations (3)

  • 1050 Key Pkwy Ste 104, Frederick, MD 21702-4496 — (240) 629-3939
  • 12070 Old Line Ctr Ste 205, Waldorf, MD 20602-2567 — (240) 629-3939
  • 12070 Old Line Ctr Ste 210, Waldorf, MD 20602-2567 — (240) 629-3939

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1083158885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kal Kahloon — Ceo · (240) 629-3990
NPI enumeratedDecember 13, 2016
Last updated in NPPESMarch 17, 2018
Mailing address1050 Key Pkwy, Suite 202, Frederick, MD 21702-4053

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