Provider Demographics
NPI:1386744308
Name:MEANS, KENNETH R (MD)
Entity type:Individual
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First Name:KENNETH
Middle Name:R
Last Name:MEANS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3333 N CALVERT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:410-235-5405
Mailing Address - Fax:410-467-5459
Practice Address - Street 1:3333 N CALVERT ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-235-5405
Practice Address - Fax:410-467-5459
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0062877207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery