KENNETH R. LINDYBERG M.D. – NPI #1366483919
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

KENNETH LINDYBERG is a physician located in BALTIMORE, MD. NPPES has assigned the NPI number 1366483919 to KENNETH LINDYBERG on June 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Jan 31, 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 LINDYBERG below.

NPI Profile for
KENNETH R. LINDYBERG

NPI Number
1366483919
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH R. LINDYBERG
Credentials
M.D.
Primary location
6701 N CHARLES ST
SUITE 4430
BALTIMORE, MD 21204
Phone: (443) 849-6212 Fax:
Mailing address
2916 GREENE RD
BALDWIN, MD 21013-9102
Phone: (410) 557-0451 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 31, 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.

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
208D00000X
- General Practice (Primary)
MD D0047056
208600000X
- Surgery
MD D0047056
207R00000X
- Internal Medicine
MD D47056

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.