Individual
DR. KEVIN BRYCE BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10710 CHARTER DR, SUITE 130, COLUMBIA, MD 21044-3128
(410) 772-7000
(410) 772-7072
Mailing address
25 CROSSROADS DRIVE, SUITE 306, OWINGS MILLS, MD 21117
(443) 738-2872
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0068542
MD
208800000X
Urology Physician
MD037201
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
547813800
—
MD
Enumeration date
11/27/2008
Last updated
09/28/2017
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