Kenneth M. Klebanow, M.d. & Associates, P.a. | |
8821 Columbia 100 Pkwy Columbia MD 21045 | |
(410) 997-1700 | |
(410) 740-8315 |
Full Name | Kenneth M. Klebanow, M.d. & Associates, P.a. |
---|---|
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 8821 Columbia 100 Pkwy, Columbia, Maryland |
Authorized Official Name and Position | Jessica K. Winkles (PSYCHOLOGIST) |
Authorized Official Contact | 4107944924 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kenneth M. Klebanow, M.d. & Associates, P.a. 8821 Columbia 100 Pkwy Columbia MD 21045 Ph: (410) 997-1700 | Kenneth M. Klebanow, M.d. & Associates, P.a. 8821 Columbia 100 Pkwy Columbia MD 21045 Ph: (410) 997-1700 |
NPI Number | 1790233666 |
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Provider Enumeration Date | 09/20/2016 |
Last Update Date | 07/28/2022 |
Certification Date | 07/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790233666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 05562 (Maryland) | Primary |
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