Kenneth Tellerman in Baltimore - Pediatrics

Kenneth Tellerman - NPI 1215924402

Kenneth Tellerman is a Pediatrics in Baltimore, Maryland. Kenneth Tellerman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kenneth Tellerman is 1215924402. The last update date is 2021-09-15.

Kenneth Tellerman's current location address is 2416 Ken Oak Rd, Baltimore, Maryland. You can contact this provider via phone number 4106646632 and fax number 4102430470. The mailing address for Kenneth Tellerman is 2416 Ken Oak Rd, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Tellerman
Address 2416 Ken Oak Rd, Baltimore, Maryland
Phone Number 4106646632
Fax Number 4102430470
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1215924402
Provider Enumeration Date 2005-10-03
Last Updated Date 2021-09-15

Provider Mailing Address Detail

Address 2416 Ken Oak Rd
City Baltimore
State Maryland (MD)
Post Code 212094310
Phone Number 4106646632
Fax Number 4102430470

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No D0025147
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
350701700 MD --

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FAQs about Kenneth Tellerman

What is the unique provider identifier assigned to Kenneth Tellerman?

The Kenneth Tellerman has been issued the NPI (National Provider Identifier) 1215924402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Kenneth Tellerman is physically located?

The Kenneth Tellerman is physically situated at the following address: 2416 Ken Oak Rd, Baltimore, MD, 212094310.

What is Kenneth Tellerman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kenneth Tellerman is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

When did the Kenneth Tellerman receive its 1215924402?

The Kenneth Tellerman was issued its 1215924402 on 2005-10-03, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Kenneth Tellerman most recently updated or revised?

The details related to Kenneth Tellerman, including its address, specialty, and other relevant information, were last updated or revised on 2021-09-15.

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