Kudelko, Kenneth Michael

Kudelko, Kenneth Michael is an individual health care provider with primary practice located at 7500 Hanover Pkwy Suite 201, Greenbelt MD 20770-2010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kudelko, Kenneth Michael can be contacted via phone (301) 982-7944.

Contact Information

Primary practice address
7500 Hanover Pkwy Suite 201 Greenbelt MD 20770-2010
Phone: (301) 982-7944
Fax: (301) 441-8696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D58407 Maryland

Profile Details

NPI number 1295725349
LBN Legal business name Kudelko, Kenneth Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jun 16th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295725349 NPPES
Maryland Other 002848291001 UNITED HEALTHCARE
Maryland Other 9874006 UNITED HEALTHCARE
Maryland MEDICAID 912931600 UNITED HEALTHCARE
Maryland Other 16540021 UNITED HEALTHCARE
Maryland Other 941847 UNITED HEALTHCARE
Maryland Other 9232080 UNITED HEALTHCARE

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