Blumenthal, Kevin Bryce

Blumenthal, Kevin Bryce is an individual health care provider with primary practice located at 10710 Charter Dr Suite 130, Columbia MD 21044-3128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Blumenthal, Kevin Bryce can be contacted via phone (410) 772-7000.

Contact Information

Primary practice address
10710 Charter Dr Suite 130 Columbia MD 21044-3128
Phone: (410) 772-7000
Fax: (410) 772-7072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD037201 District of Columbia
Allopathic & Osteopathic Physicians / Urology 208800000X D0068542 Maryland

Profile Details

NPI number 1215182662
LBN Legal business name Blumenthal, Kevin Bryce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2008
Last updated Sep 28th, 2017 - about 7 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 1215182662 NPPES
Maryland MEDICAID 547813800

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