Individual
DR. KENNETH EUGENE FLIGSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 WEST DR, SEVERNA PARK, MD 21146-2623
(410) 647-4403
Mailing address
507 WEST DR, SEVERNA PARK, MD 21146-2623
(410) 647-4403
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0004698
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121121800
—
MD
Enumeration date
10/28/2006
Last updated
01/23/2013
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