Individual provider · Type 1 NPI

Kimberly Elaine Fagen, MD

Pediatric Radiology Physician · Baltimore, MD

NPI number 1194795609 Active

Practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

6201 Greenleigh Ave
Baltimore, MD 21220-2004

Other practice locations

  • 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 · (952) 595-1301
  • 501 6th St S, St. Petersburg, FL 33701-4630 · (727) 898-7451

Specialties and licenses

TaxonomyCodeLicense
Pediatric Radiology Physician 2085P0229XME138564 (FL)
Diagnostic Radiology Physician 2085R0202XD83915 (MD)
Pediatric Radiology Physician Primary 2085P0229XD0083915 (MD)

Pediatric Radiology Physician: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital…

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About NPI 1194795609

Kimberly Elaine Fagen, MD's National Provider Identifier is 1194795609, issued on Jan 25, 2006. The primary taxonomy on file is Pediatric Radiology Physician (2085P0229X), and the practice location is in Baltimore, MD. The record was last updated on Feb 27, 2025.