Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | D0039737 | MD |
N | 2080A0000X | Adolescent Medicine | MD20255 | DC |
NPI | 1144398561 |
---|---|
Provider Name | Dr. Kiran K Kumar |
First Address | Rockville, MD 20852-4908 |
Second Address | Silver Spring, MD 20904-7803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 14/01/2022 |