Provider Demographics
NPI:1659407773
Name:LUMPKINS, KIMBERLY M (MD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:M
Last Name:LUMPKINS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:29 S GREENE ST
Mailing Address - Street 2:STE 110
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1504
Mailing Address - Country:US
Mailing Address - Phone:410-328-4089
Mailing Address - Fax:410-328-5919
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-328-4089
Practice Address - Fax:410-328-5919
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2023-02-14
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Provider Licenses
StateLicense IDTaxonomies
MDD642462086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery