Individual
DR. KEVIN MATTHEW BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10045 BALTIMORE NATIONAL PIKE STE A1, ELLICOTT CITY, MD 21042-3673
(410) 418-8370
Mailing address
1053 W BARRE ST, BALTIMORE, MD 21230-2131
(443) 472-7157
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17920
MD
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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