Provider Demographics
NPI:1356304398
Name:LANGER, KENNETH F (MD)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:F
Last Name:LANGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25 CROSSROADS DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5421
Mailing Address - Country:US
Mailing Address - Phone:410-644-0929
Mailing Address - Fax:410-644-4338
Practice Address - Street 1:3407 WILKENS AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5072
Practice Address - Country:US
Practice Address - Phone:410-644-0929
Practice Address - Fax:410-644-4338
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2014-04-23
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Provider Licenses
StateLicense IDTaxonomies
MDD40081208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD62581702Medicaid
MD731L576DMedicare PIN
MDE66125Medicare UPIN