Individual
KEVIN WILLIAM O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE STREET, MEYER 8-134B, BALTIMORE, MD 21287-0005
(443) 287-3631
(410) 502-0923
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D89024
MD
208100000X
Physical Medicine & Rehabilitation Physician
D89024
MD
Other
Enumeration date
04/04/2016
Last updated
08/20/2024
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