Individual
KEVIN M AUDLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7600 OSLER DR, STE 200, TOWSON, MD 21204-7735
(410) 321-8452
(410) 828-5217
Mailing address
PO BOX 64075, BALTIMORE, MD 21264-4075
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
D0064224
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KT93/LT35
BC / BS OF MD
MD
01
—
S186 /
BLUECHOICE
MD
Enumeration date
05/28/2006
Last updated
07/08/2007
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