KENNETH MICHAEL KLEBANOW M.D. NPI 1619989407

NPI Information

Kenneth Michael Klebanow, M.D. 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 Michael Klebanow, M.D. NPI is 1619989407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8821 COLUMBIA 100 PKWY
COLUMBIA, MD
ZIP 21045-168
Phone: (410) 715-0080
Fax: (410) 730-6198

The NPI 1619989407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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