Individual
DR. JOHN EDWARD KENZORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6040
(410) 328-0534
Mailing address
2200 KERNAN DR, BALTIMORE, MD 21207-6665
(410) 448-6375
(410) 448-6296
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D22289
MD
207XS0106X
Orthopaedic Hand Surgery Physician
D22289
MD
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
D22289
MD
207XS0117X
Orthopaedic Surgery of the Spine Physician
D22289
MD
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
D22289
MD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
D22289
MD
207XX0801X
Orthopaedic Trauma Physician
D22289
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841256054
NPI
MD
05
—
305331800
—
MD
Enumeration date
04/25/2006
Last updated
09/14/2010
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