Individual
KATHLEEN MICHELLE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 ORLEANS ST # 8-120, BALTIMORE, MD 21287-0010
(410) 955-5608
(410) 614-1796
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
D88028
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD455154
PA
207R00000X
Internal Medicine Physician
MT195795
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D88028
MD
Other
Enumeration date
06/22/2009
Last updated
10/03/2025
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