Individual
DR. CALEB EDWARD KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7920 MCDONOGH RD, SUITE 201, OWINGS MILLS, MD 21117-5273
(443) 693-7246
Mailing address
2 PARK CENTER CT, SUITE 200, OWINGS MILLS, MD 21117-4295
(443) 693-7246
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
D0075823
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343489YY2L
MEDICARE
MD
05
—
422833200
—
MD
Enumeration date
10/03/2006
Last updated
12/21/2015
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