Fajardo, Kevin Anthony

Fajardo, Kevin Anthony is an individual health care provider with primary practice located at 307 Boatner Rd , Eglin Afb FL 32542-1302. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Fajardo, Kevin Anthony can be contacted via phone (850) 883-8600.

Contact Information

Primary practice address
307 Boatner Rd Eglin Afb FL 32542-1302
Phone: (850) 883-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME142177 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0061102 Colorado
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 01061083A Indiana

Profile Details

NPI number 1922146596
LBN Legal business name Fajardo, Kevin Anthony
Credentials MD, MPH, MTMH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2007
Last updated Mar 5th, 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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