Kimberly Destefano Larsen in Baltimore - Family Medicine
Kimberly Destefano Larsen - NPI 1265480347
Kimberly Destefano Larsen is a Family Medicine in Baltimore, Maryland. Kimberly Destefano Larsen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kimberly Destefano Larsen is 1265480347. The last update date is 2018-05-21.
Kimberly Destefano Larsen's current location address is 9910 Franklin Square Dr Ste 2110, Baltimore, Maryland. You can contact this provider via phone number 4109335412 and fax number 4105356131. The mailing address for Kimberly Destefano Larsen is 9910 Franklin Square Dr Ste 2110, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Destefano Larsen |
|---|---|
| Address | 9910 Franklin Square Dr Ste 2110, Baltimore, Maryland |
| Phone Number | 4109335412 |
| Fax Number | 4105356131 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265480347 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2018-05-21 |
Provider Mailing Address Detail
| Address | 9910 Franklin Square Dr Ste 2110 |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212364902 |
| Phone Number | 4109335412 |
| Fax Number | 4105356131 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | D51722 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5619003 | BCBS FEDERAL | ||
| 123200560 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kimberly Destefano Larsen by the Centers for Medicare & Medicaid Services?
The Kimberly Destefano Larsen has been issued the NPI (National Provider Identifier) 1265480347 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kimberly Destefano Larsen's facilities are situated?
The facilities of Kimberly Destefano Larsen are physically located at the following address: 9910 Franklin Square Dr Ste 2110, Baltimore, MD, 212364902.
What is Kimberly Destefano Larsen's area of expertise and its corresponding taxonomy classification?
The Kimberly Destefano Larsen's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1265480347 to Kimberly Destefano Larsen?
The Centers for Medicare & Medicaid Services assigned the 1265480347 to Kimberly Destefano Larsen on 2006-05-04.
When was the information pertaining to Kimberly Destefano Larsen most recently updated or revised?
The details related to Kimberly Destefano Larsen, including its address, specialty, and other relevant information, were last updated or revised on 2018-05-21.