Organization
KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA K. WINKLES PHD (PSYCHOLOGIST)
(410) 794-4924
Entity
Organization
Contact information
Practice address
8821 COLUMBIA 100 PKWY, COLUMBIA, MD 21045
(410) 997-1700
(410) 740-8315
Mailing address
8821 COLUMBIA 100 PKWY, COLUMBIA, MD 21045
(410) 997-1700
(410) 740-8315
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
05562
MD
Other
Enumeration date
09/20/2016
Last updated
07/28/2022
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