Tellerman, Kenneth
Tellerman, Kenneth is an individual health care provider with primary practice located at 711 W 40Th St Ste 438 , Baltimore MD 21211-2199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tellerman, Kenneth can be contacted via phone (410) 243-8632.Contact Information
Primary practice address
711 W 40Th St Ste 438
Baltimore MD 21211-2199
Phone: (410) 243-8632
Fax: (410) 243-0470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0025147 | Maryland |
Profile Details
| NPI number | 1215924402 |
|---|---|
| LBN Legal business name | Tellerman, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Sep 15th, 2021 - about 5 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 | 1215924402 | NPPES |
| Maryland | MEDICAID | 350701700 |
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