Provider Demographics
NPI:1851396477
Name:KMAN, STANLEY M (DO)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:M
Last Name:KMAN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:615 W MACPHAIL RD
Mailing Address - Street 2:STE 106
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4393
Mailing Address - Country:US
Mailing Address - Phone:410-638-8900
Mailing Address - Fax:410-638-8915
Practice Address - Street 1:3401 BOX HILL CORPORATE CENTER DR
Practice Address - Street 2:STE 100
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1200
Practice Address - Country:US
Practice Address - Phone:410-671-0017
Practice Address - Fax:410-671-7072
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2016-01-28
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Provider Licenses
StateLicense IDTaxonomies
MDH41069207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD756581000Medicaid
MDF34189Medicare UPIN
MD756581000Medicaid