Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | D77881 | MD |
NPI | 1104028620 |
---|---|
Provider Name | Kimberly Lynn Levinson |
First Address | Baltimore, MD 21224-3918 |
Second Address | Baltimore, MD 21205-2000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2007 |
Last Update Date | 07/04/2021 |