Provider Demographics
NPI:1851394142
Name:KERSHNER, DAWN W (DO)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:W
Last Name:KERSHNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:WARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1838 GREENE TREE RD
Mailing Address - Street 2:STE 150LL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:410-602-9262
Mailing Address - Fax:410-602-9276
Practice Address - Street 1:3333 N CALVERT ST
Practice Address - Street 2:STE 500
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-6502
Practice Address - Country:US
Practice Address - Phone:410-366-5600
Practice Address - Fax:410-889-4952
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0059780207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD401917200Medicaid
MD000LF714Medicare ID - Type Unspecified
MD401917200Medicaid