Ciardiello, Kenneth A

Ciardiello, Kenneth A is an sole proprietor health care provider with primary practice located at 6400 Davis Blvd Ste 104 , Naples FL 34104-5321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ciardiello, Kenneth A can be contacted via phone (239) 624-0650.

Contact Information

Primary practice address
6400 Davis Blvd Ste 104 Naples FL 34104-5321
Phone: (239) 624-0650
Fax: (239) 624-0651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME134560 Florida

Profile Details

NPI number 1184719395
LBN Legal business name Ciardiello, Kenneth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Dec 30th, 2018 - about 8 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 1184719395 NPPES
Florida Other KG508 MEDICARE
Florida Other 31AWY MEDICARE
Florida MEDICAID 100801100 MEDICARE
Florida MEDICAID 004096550 MEDICARE

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