Individual
KATHLEEN MARGARET STEPHANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(800) 492-5538
Mailing address
91 DUNKIRK RD, BALTIMORE, MD 21212-1707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
285567
NY
207P00000X
Emergency Medicine Physician
Primary
D0093600
MD
208000000X
Pediatrics Physician
D0093600
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2011
Last updated
03/22/2022
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