John Edward Kenzora in Baltimore - Sports Medicine

John Edward Kenzora - NPI 1841256054

John Edward Kenzora is a Sports Medicine in Baltimore, Maryland. John Edward Kenzora practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for John Edward Kenzora is 1841256054. The last update date is 2010-09-14.

John Edward Kenzora's current location address is 2200 Kernan Dr, Baltimore, Maryland. You can contact this provider via phone number 4104486375 and fax number 4104486296. The mailing address for John Edward Kenzora is 2200 Kernan Dr, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name John Edward Kenzora
Address 2200 Kernan Dr, Baltimore, Maryland
Phone Number 4104486375
Fax Number 4104486296
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1841256054
Provider Enumeration Date 2006-04-25
Last Updated Date 2010-09-14

Provider Mailing Address Detail

Address 2200 Kernan Dr
City Baltimore
State Maryland (MD)
Post Code 212076665
Phone Number 4104486375
Fax Number 4104486296

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No D22289
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1841256054 MD NPI
305331800 MD --

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FAQs about John Edward Kenzora

What is the unique 10-digit identification code issued to John Edward Kenzora by the Centers for Medicare & Medicaid Services?

The John Edward Kenzora has been assigned the NPI (National Provider Identifier) 1841256054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where John Edward Kenzora is physically located?

The John Edward Kenzora is situated at the following address: 2200 Kernan Dr, Baltimore, MD 212076665.

What is the area of specialization for John Edward Kenzora, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Edward Kenzora is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0005X.

On what date did the John Edward Kenzora receive the assignment of its 1841256054 from the Centers for Medicare & Medicaid Services?

The John Edward Kenzora was issued its 1841256054 by the Centers for Medicare & Medicaid Services on 2006-04-25.

As of what date were the John Edward Kenzora's details last updated?

The information pertaining to the John Edward Kenzora, including its address, specialty, and other details, was most recently updated on 2010-09-14.

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