MEDICARE: DR. KIMBERLY VALENTI MD, PHD

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	MD38876	TN
2	207R00000X	Internal Medicine Physician	D58153	MD

General Provider Information

NPI Number	:	1982692380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY VALENTI MD, PHD

Provider Business Mailing Address
First Line	:	2770 STATE ROUTE 32
Second Line	:
City	:	WEST FRIENDSHIP
State	:	MD
Zip	:	21794-9308
Country	:	US
Telephone Number	:	410-489-7817
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 HOSPITAL DR
Second Line	:
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1189
Country	:	US
Telephone Number	:	301-618-3772
Fax Number	:	301-618-2986

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	07/08/2007

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