John, Kenneth

John, Kenneth is an sole proprietor health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. John, Kenneth can be contacted via phone (139) 630-2147.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-4923
Phone: (139) 630-2147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X ME168470 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME168470 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X LP04885 Rhode Island

Profile Details

NPI number 1396302147
LBN Legal business name John, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2019
Last updated Sep 5th, 2024 - about 2 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 1396302147 NPPES
Florida MEDICAID 122871900

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