Kenneth Michael Klebanow
M.D. | Pediatric Adolescent Medicine | Male
Kenneth Michael Klebanow, M.D. is a Columbia, Maryland based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Kenneth Michael Klebanow is
8821 Columbia 100 Pkwy, Columbia, Maryland - 21045-2168. He can be contacted on phone at
410-715-0080 and fax number 410-730-6198.
Kenneth Michael Klebanow is a sole proprietor of his business.
NPI number (Unique professional ID) for Kenneth Michael Klebanow is
1619989407 which was assigned by NPPES on 12 Aug, 2006 and it was last updated on 08 Jul, 2007.
Kenneth Michael Klebanow license number is
D26274 for Pediatrics Adolescent Medicine (2080A0000X) in Maryland.
Kenneth Michael Klebanow 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.
Complete Profile:
Kenneth Michael Klebanow basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Kenneth Michael Klebanow |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Kenneth Michael Klebanow address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8821 Columbia 100 Pkwy
Columbia, MD, 21045-2168
United States |
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| Phone Number : | 410-715-0080 |
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| Fax Number : | 410-730-6198 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619989407 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Michael Klebanow are as mentioned. Primary taxonomy code for Kenneth Michael Klebanow, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | D26274 | MD |
Legacy Identifiers:
Other legacy medical identifiers of Kenneth Michael Klebanow such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 136461800 | MEDICAID | MD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8821 Columbia 100 Pkwy
Columbia, MD, 21045-2168
United States |
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| Phone Number : | 410-715-0080 |
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| Fax Number : | 410-730-6198 |
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Business Location:
Patients can refer following map for directions to
Kenneth Michael Klebanow practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.