Defontes, Kenneth William
Defontes, Kenneth William is an individual health care provider with primary practice located at 8322 Bellona Ave Ste 100 , Towson MD 21204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Defontes, Kenneth William can be contacted via phone (410) 337-7900.Contact Information
Primary practice address
8322 Bellona Ave Ste 100
Towson MD 21204
Phone: (410) 337-7900
Fax: (410) 337-5321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | D0084939 | Maryland |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D0084939 | Maryland |
Profile Details
| NPI number | 1134415706 |
|---|---|
| LBN Legal business name | Defontes, Kenneth William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2011 |
| Last updated | Aug 1st, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134415706 | NPPES |
| Maryland | Other | D0084939 | MARYLAND LICENSE |
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