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

Kenneth Tellerman, MD

Individual provider Pediatrics Physician · NPI 1215924402

Kenneth Tellerman, MD is a Pediatrics Physician in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2005.

Licensed in
MD
In the registry since
2005
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

711 W 40th St Ste 438
Baltimore, MD 21211-2199
Phone: (410) 243-8632
Fax: (410) 243-0470
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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 D0025147 (MD)

Record details

NPI number1215924402
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing address2416 Ken Oak Rd, Baltimore, MD 21209-4310

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