Rothbaum, Kenneth Lawrence
Rothbaum, Kenneth Lawrence is an individual health care provider with primary practice located at 2 Village Sq Suite 210, Baltimore MD 21210-1624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rothbaum, Kenneth Lawrence can be contacted via phone (410) 433-7433.Contact Information
Primary practice address
2 Village Sq Suite 210
Baltimore MD 21210-1624
Phone: (410) 433-7433
Fax: (410) 433-1663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | B27007 | Maryland |
Profile Details
| NPI number | 1588657639 |
|---|---|
| LBN Legal business name | Rothbaum, Kenneth Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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 | 1588657639 | NPPES |
| Maryland | Other | B27007 | MEDICAL LICENSE NUMBER |
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