Individual
KEVIN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 CANTON AVE, ANESTHESIA DEPARTMENT, BALTIMORE, MD 21229
(410) 368-3045
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R140722
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406598100
—
MD
Enumeration date
07/07/2005
Last updated
04/10/2023
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