Transcription of Provider Credentialing Application Instructions
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Provider Credentialing Application Instructions Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. Mid-Atlantic Permanente Medical Group, This Credentialing /RECREDENTIALING Application is for Kaiser Permanente network Provider organizations and facilities. Important disclaimer: Submission of an Application does not constitute any obligation on the part of Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., the Mid-Atlantic Permanente Medical Group, or any other or related Kaiser Permanente entity to enter into a new contractual obligation nor renew an earlier contract.
For questions, please contact us at interested.providers@kp.org. Return completed applications using one of the following options: Email PDFs to: interested.providers@kp.org FAX 855-414-2621 Postal Mail Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. Attn: Provider Contracting 2101 E. Jefferson St., Ste. 2 East Rockville, MD 20852
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