Archer, Kendis

Archer, Kendis is an sole proprietor health care provider with primary practice located at 4720 Silent Creek Ln , Tallahassee FL 32303-8946. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Archer, Kendis can be contacted via phone (772) 801-9885.

Contact Information

Primary practice address
4720 Silent Creek Ln Tallahassee FL 32303-8946
Phone: (772) 801-9885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2010040907 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME125164 Florida

Profile Details

NPI number 1104031061
LBN Legal business name Archer, Kendis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Jul 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104031061 NPPES
Florida Other ME125164 MEDICAL LICENSE
Florida Other 2010040907 MEDICAL LICENSE

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