KENNETH M. KLEBANOW M.D. & ASSOCIATES P.A. NPI 1174695670

NPI Information

KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A. is an adolescent medicine pediatrics in Columbia, MD. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A. NPI is 1174695670. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8821 C0LUMBIA 100 PKWY
COLUMBIA, MD
ZIP 21045
Phone: (410) 992-0513
Fax: (410) 740-8315

The provider's authorized official is Kenneth M Klebanow .
The authorized official title is President, Managing Partner and has the following contact phone number (410) 992-0513.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 4/6/2011.

Taxonomy Codes

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Other Identifiers

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