KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A. – NPI #1174695670
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A. is a provider located in COLUMBIA, MD. NPPES has assigned the NPI number 1174695670 to KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A. on November 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 4 years ago on Jul 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A. below.

NPI Profile for
KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A.

NPI Number
1174695670
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A.
Primary location
8821 C0LUMBIA 100 PKWY
COLUMBIA, MD 21045
Phone: (410) 992-0513 Fax: (410) 740-8315
Mailing address
8821 C0LUMBIA 100 PARKWAY
COLUMBIA, MD 21045
Phone: (410) 992-0513 Fax: (410) 740-8315
Organization Subpart
No
Authorized Official
KENNETH KLEBANOW
PRESIDENT, MANAGING PARTNER
Phone: (410) 992-0515
Updated
Certification Date
Jul 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD277341400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
MD

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.