Individual
DR. KENNETH LAURON ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 HOSPITAL RD STE 105, PRINCE FREDERICK, MD 20678-4043
(410) 414-9116
(410) 414-9118
Mailing address
110 HOSPITAL RD STE 105, PRINCE FREDERICK, MD 20678-4043
(410) 414-9116
(410) 414-9118
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D56024
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483400300
—
MD
01
—
830007961
MEDICARE RAILROAD
—
Enumeration date
03/06/2007
Last updated
01/16/2024
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