MEDICARE: DR. STANLEY M KMAN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	H41069	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851396477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STANLEY M KMAN D.O.

Provider Business Mailing Address
First Line	:	615 W MACPHAIL RD
Second Line	:	STE 106
City	:	BEL AIR
State	:	MD
Zip	:	21014-4393
Country	:	US
Telephone Number	:	410-638-8900
Fax Number	:	410-638-8915

Provider Business Practice Location Address
First Line	:	3401 BOX HILL CORPORATE CENTER DR
Second Line	:	STE 100
City	:	ABINGDON
State	:	MD
Zip	:	21009-1200
Country	:	US
Telephone Number	:	410-671-0017
Fax Number	:	410-671-7072

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	01/28/2016

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