Provider Demographics
NPI:1326041518
Name:GEROLD, KEVIN B (DO)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:B
Last Name:GEROLD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1212 HART RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-1632
Mailing Address - Country:US
Mailing Address - Phone:410-583-9848
Mailing Address - Fax:410-583-9875
Practice Address - Street 1:4940 EASTERN AVENUE
Practice Address - Street 2:A3W-387 DEPARTMENT OF ANESTHESIOLOGY, JHBMC
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2780
Practice Address - Country:US
Practice Address - Phone:410-550-4557
Practice Address - Fax:410-550-0443
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDH31298207LC0200X, 207L00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine