Pittman, Kenneth Mell

Pittman, Kenneth Mell is an individual health care provider with primary practice located at 5900 S John Young Pkwy , Orlando FL 32839-3716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pittman, Kenneth Mell can be contacted via phone (407) 398-6470.

Contact Information

Primary practice address
5900 S John Young Pkwy Orlando FL 32839-3716
Phone: (407) 398-6470
Fax: (407) 894-6872
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME54502 Florida

Profile Details

NPI number 1912909565
LBN Legal business name Pittman, Kenneth Mell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Mar 22nd, 2017 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912909565 NPPES
Florida MEDICAID 046970000

Popular Providers