Individual
DR. KATHLEEN PENCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5200 EASTERN AVE FL EAST2, BALTIMORE, MD 21224-2734
(410) 550-5018
(410) 550-2972
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D93022
MD
Other
Enumeration date
06/07/2019
Last updated
11/30/2022
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