Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | D0027860 | MD |
NPI | 1336216134 |
---|---|
Provider Name | Christopher D. Kearney |
First Address | Baltimore, MD 21218-2829 |
Second Address | Baltimore, MD 21218-2829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 26/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C49079 | (02) | MD |