Provider Demographics
NPI:1104028620
Name:LEVINSON, KIMBERLY LYNN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:LYNN
Last Name:LEVINSON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 S EAST AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-3918
Mailing Address - Country:US
Mailing Address - Phone:410-419-9715
Mailing Address - Fax:
Practice Address - Street 1:601 N CAROLINE ST FL 8
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2000
Practice Address - Country:US
Practice Address - Phone:410-955-6700
Practice Address - Fax:410-614-8640
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD77881207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology