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Individual

BLAINE F KENAA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-8141
(410) 328-0177
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(443) 462-3514

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D86134
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D86134
MD
207RP1001X
Pulmonary Disease Physician
D86134
MD

Other

Enumeration date
07/26/2012
Last updated
07/27/2020
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