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

Kenneth Michael Klebanow, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1619989407

Kenneth Michael Klebanow, MD is a Pediatric Adolescent Medicine Physician in Columbia, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8821 Columbia 100 Pkwy
Columbia, MD 21045-2168
Phone: (410) 715-0080
Fax: (410) 730-6198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence D0026274 (MD)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence D26274 (MD)

Record details

NPI number1619989407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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