Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | D64246 | MD |
NPI | 1659407773 |
---|---|
Provider Name | Kimberly M. Lumpkins |
First Address | Baltimore, MD 21201-1504 |
Second Address | Baltimore, MD 21201-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2007 |
Last Update Date | 21/09/2016 |