Kailes, Steven Benjamin

Kailes, Steven Benjamin is an individual health care provider with primary practice located at 2001 Kingsley Ave Orange Park Medical Center Emergency Department, Orange Park FL 32073-5148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kailes, Steven Benjamin can be contacted via phone (904) 276-8580.

Contact Information

Primary practice address
2001 Kingsley Ave Orange Park Medical Center Emergency Department Orange Park FL 32073-5148
Phone: (904) 276-8580
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME91282 Florida

Profile Details

NPI number 1588604870
LBN Legal business name Kailes, Steven Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 15th, 2008 - about 18 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 1588604870 NPPES
Florida MEDICAID 275631500

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