Individual
GARY J KERKVLIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2435 W BELVEDERE AVE, SUITE 22, BALTIMORE, MD 21215-5224
(410) 601-6840
(410) 601-5789
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D45708
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119091100
—
MD
Enumeration date
06/02/2006
Last updated
01/27/2014
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