Provider Demographics
NPI:1790993491
Name:KRITZLER, ROBERT KIMBALL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:KIMBALL
Last Name:KRITZLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1732 MONKTON FARMS DR
Mailing Address - Street 2:
Mailing Address - City:MONKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21111-2034
Mailing Address - Country:US
Mailing Address - Phone:410-762-5233
Mailing Address - Fax:410-762-4606
Practice Address - Street 1:1447 YORK RD
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6017
Practice Address - Country:US
Practice Address - Phone:410-339-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00257172080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC88841Medicare UPIN