Organization record
KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A.
All evidence-backed facts for this organization, identity resolved across official registers.
Facts on record
Newest first; every row links to its evidence page.
| Fact | Value | Period | Source |
|---|---|---|---|
| enumeration_date | {"date": "2006-11-14"} | 2006-11-14 | cms_nppes |
| legal_address | {"city": "COLUMBIA", "region": "MD", "street": "8821 C0LUMBIA 100 PKWY", "country": "US", | cms_nppes | |
| legal_name | {"value": "KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A."} | cms_nppes | |
| provider_status | {"value": "aktiv", "deactivation_date": null, "reactivation_date": null} | cms_nppes | |
| provider_taxonomy | {"value": "2080A0000X", "scheme": "NUCC"} | cms_nppes |