Gummerson, Kenneth S
Gummerson, Kenneth S is an individual health care provider with primary practice located at 2001 Medical Pkwy , Annapolis MD 21401-3280. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gummerson, Kenneth S can be contacted via phone (443) 481-1366.Contact Information
Primary practice address
2001 Medical Pkwy
Annapolis MD 21401-3280
Phone: (443) 481-1366
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | D24336 | Maryland |
Profile Details
| NPI number | 1811001175 |
|---|---|
| LBN Legal business name | Gummerson, Kenneth S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811001175 | NPPES |
| Maryland | Other | 60055702 | BLUE SHIELD |
| Maryland | Other | T2390001 | BLUE SHIELD |
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