Organization
DRS KIME GIPSON AND SUTULA PA
Active
Organization
DRS KIME GIPSON AND SUTULA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARY MCDONALD (DIRECTOR OF BILLING)
(410) 350-2193
Entity
Organization
Contact information
Practice address
3001 S HANOVER ST, NA114, BALTIMORE, MD 21225-1233
(410) 350-2112
Mailing address
3001 S HANOVER ST, NA114, BALTIMORE, MD 21225-1233
(410) 350-2112
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
—
207ZC0500X
Cytopathology Physician
Primary
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZF0201X
Forensic Pathology Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZI0100X
Immunopathology Physician
—
—
207ZM0300X
Medical Microbiology Physician
—
—
207ZN0500X
Neuropathology Physician
—
—
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0104X
Chemical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W299
MEDICARE
MD
Enumeration date
11/30/2007
Last updated
11/30/2007
Update your record
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