NPI 1689757254 · live from the CMS NPI Registry
Earl Kidwell, MD
Ophthalmology in Baltimore, MD. National Provider Identifier 1689757254, active.
NPI record
| NPI | 1689757254 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 3104 Lord Baltimore Dr, Suite 200, Baltimore, MD 21244 |
| Practice phone | 410-265-1501 |
| Enumerated | October 24, 2006 |
| Last updated | January 2, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | D18526 (MD) |
| Ophthalmology primary | 207W00000X | MD13643 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.