Rifkin, Kerry Vaughn

Rifkin, Kerry Vaughn is an individual health care provider with primary practice located at 2140 Kingsley Ave Suite 14, Orange Park FL 32073-5180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Rifkin, Kerry Vaughn can be contacted via phone (904) 276-7997.

Contact Information

Primary practice address
2140 Kingsley Ave Suite 14 Orange Park FL 32073-5180
Phone: (904) 276-7997
Fax: (904) 276-7559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G4046 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME0041529 Florida

Profile Details

NPI number 1730134644
LBN Legal business name Rifkin, Kerry Vaughn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Mar 4th, 2020 - about 6 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 1730134644 NPPES
Florida MEDICAID 067441900
Florida Other 15764
Florida Other 020016680

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