Individual
MRS. KATHLEEN A BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5051 GREENSPRING AVENUE, MICHEL MIROWSKI, MD, OFF. BLDG, BALTIMORE, MD 21209
(410) 601-9515
(410) 601-8095
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
363A00000X
Physician Assistant
Primary
C01147
MD
Other
Enumeration date
06/26/2006
Last updated
09/20/2010
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