James Kevin Poulton
Procedural Dermatology
5233 King Ave Ste 204
Baltimore
, Maryland 21237-4003
James Kevin Poulton
Procedural Dermatology
5233 King Ave Ste 204
Baltimore
, Maryland 21237-4003
(410) 574-3710
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- James Kevin Poulton
- 5233 King Ave Ste 204
- Baltimore, MD
- Zip : 21237-4003
- Fax : (410) 574-3710
- Phone : (410) 574-3100
Second Address
- James Kevin Poulton
- 5233 King Ave Ste 204
- Baltimore, MD
- Zip : 21237-4003
- Fax : (410) 574-3710
- Phone : (410) 574-3100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | DOO46190 | MD |
National Provider Identifier
| NPI | 1407845779 |
|---|---|
| Provider Name | James Kevin Poulton |
| First Address | Baltimore, MD 21237-4003 |
| Second Address | Baltimore, MD 21237-4003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2005 |
| Last Update Date | 24/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G66517 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.