List, Kevin
List, Kevin is an individual health care provider with primary practice located at 1578 W Orange Blossom Trl , Apopka FL 32712-2639. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. List, Kevin can be contacted via phone (407) 635-3240.Contact Information
Primary practice address
1578 W Orange Blossom Trl
Apopka FL 32712-2639
Phone: (407) 635-3240
Fax: (407) 636-7847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME161624 | Florida |
Profile Details
| NPI number | 1316407612 |
|---|---|
| LBN Legal business name | List, Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2019 |
| Last updated | Aug 25th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316407612 | NPPES |
| Florida | MEDICAID | 118675400 |
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