Zylstra, Kenneth T.

Zylstra, Kenneth T. is an individual health care provider with primary practice located at 3731 Lake Worth Rd Ste 1 , Palm Springs FL 33461-4062. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Zylstra, Kenneth T. can be contacted via phone (561) 967-0234.

Contact Information

Primary practice address
3731 Lake Worth Rd Ste 1 Palm Springs FL 33461-4062
Phone: (561) 967-0234
Fax: (561) 439-4833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104399 Florida

Profile Details

NPI number 1528239662
LBN Legal business name Zylstra, Kenneth T.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2008
Last updated Dec 5th, 2021 - about 5 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 1528239662 NPPES
Florida Other PA9104399 PA LICENSE

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