Individual
DR. KENNETH RAYMOND LINDYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 N CHARLES ST, SUITE 4430, BALTIMORE, MD 21204
(443) 849-6212
Mailing address
2916 GREENE RD, BALDWIN, MD 21013-9102
(410) 557-0451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D47056
MD
208600000X
Surgery Physician
D0047056
MD
208D00000X
General Practice Physician
Primary
D0047056
MD
Other
Enumeration date
06/08/2006
Last updated
01/31/2022
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