Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth M. Klebanow, MD & Associates, PA

Organization Clinical Child & Adolescent Psychologist · NPI 1790233666

Kenneth M. Klebanow, MD & Associates, PA is a Clinical Child & Adolescent Psychologist in Columbia, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8821 Columbia 100 Pkwy
Columbia, MD 21045
Phone: (410) 997-1700
Fax: (410) 740-8315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 05562 (MD)

Record details

NPI number1790233666
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Winkles — Psychologist · (410) 794-4924
NPI enumeratedSeptember 20, 2016
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address8821 Columbia 100 Pkwy, Columbia, MD 21045

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