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Kenneth Michael Klebanow, MD
Pediatric Adolescent Medicine Physician in Columbia, Maryland
NPI 1619989407

Kenneth Michael Klebanow is a Pediatric Adolescent Medicine Physician based in Columbia, MD and is specialized in Adolescent Medicine. Kenneth Michael Klebanow practices in Columbia, MD and has the professional credentials of MD. The NPI Number for Kenneth Michael Klebanow is 1619989407 and holds a License No. D26274 (Maryland).

The current practice location address for Kenneth Michael Klebanow is 8821 Columbia 100 Pkwy, Columbia, MD and can be reached out via phone at 410-715-0080 and via fax at 410-730-6198.

Location: 8821 Columbia 100 Pkwy, Columbia, MD, 21045-2168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619989407
Provider Name
Kenneth Michael Klebanow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8821 Columbia 100 Pkwy, Columbia, MD, 21045-2168
Phone Number
410-715-0080
Fax Number
410-730-6198
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
136461800 05 MD
institution
Provider Business Practice Location Address Details
Address
8821 Columbia 100 Pkwy
City
Columbia
State
Maryland
Zip
21045-2168
Phone Number
410-715-0080
Fax Number
410-730-6198
person
Provider Business Mailing Address Details
Address
8821 Columbia 100 Pkwy
City
Columbia
State
Maryland
Zip
21045-2168
Phone Number
410-715-0080
Fax Number
410-730-6198
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
D26274 (Maryland)
Definition
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.
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