Provider Demographics
NPI:1164684965
Name:KLEPPER, TIMOTHY MACKEY (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:MACKEY
Last Name:KLEPPER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 BENFIELD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MILLERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-3004
Mailing Address - Country:US
Mailing Address - Phone:410-729-5100
Mailing Address - Fax:443-679-1382
Practice Address - Street 1:125 SHOREWAY DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:QUEENSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21658-1681
Practice Address - Country:US
Practice Address - Phone:410-827-4001
Practice Address - Fax:410-827-4333
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2014-04-04
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Provider Licenses
StateLicense IDTaxonomies
PAMT193967207Q00000X
MDD77286207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine