Lown, Kenneth J A

Lown, Kenneth J A is an individual health care provider with primary practice located at 1679 Eagle Harbor Pkwy Ste B , Fleming Island FL 32003-4816. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Lown, Kenneth J A can be contacted via phone (904) 264-1958.

Contact Information

Primary practice address
1679 Eagle Harbor Pkwy Ste B Fleming Island FL 32003-4816
Phone: (904) 264-1958
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X ARNP9267410 Florida
Nursing Service Providers / Ambulatory Care 163WP2201X SP007282 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9267410 Florida

Profile Details

NPI number 1336182039
LBN Legal business name Lown, Kenneth J A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Apr 10th, 2025 - about last year

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 1336182039 NPPES
Florida MEDICAID 308659300
Florida MEDICAID 512593957A

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