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

Kaddie Kallon

Individual provider Primary Care Nurse Practitioner · NPI 1427519404

Kaddie Kallon is a Nurse Practitioner in Laurel, Maryland. Qualified in 2018, 8 years ago. Practices with Spiritual Healing, a 22-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
8
Licensed in
MD
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

9524 Muirkirk Rd Apt 102
Laurel, MD 20708-2737
Phone: (240) 899-2928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R179511 (MD)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence R179511 (MD)

Record details

NPI number1427519404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2019
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address9524 Muirkirk Rd Apt 102, Laurel, MD 20708-2737

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Spiritual Healing — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Laurel