Adkisson, Kendral Wayne

Adkisson, Kendral Wayne is an individual health care provider with primary practice located at 5147 N 9Th Ave Ste 311 , Pensacola FL 32504-8770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Adkisson, Kendral Wayne can be contacted via phone (850) 477-2597.

Contact Information

Primary practice address
5147 N 9Th Ave Ste 311 Pensacola FL 32504-8770
Phone: (850) 477-2597
Fax: (850) 478-7941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME82477 Florida

Profile Details

NPI number 1790871895
LBN Legal business name Adkisson, Kendral Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Apr 11th, 2018 - 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 1790871895 NPPES
Other 002102707001 UNITED HEATLH CARE
Other B336 UNITED HEATLH CARE
Other 059039702 UNITED HEATLH CARE
Other 7192252 UNITED HEATLH CARE
MEDICAID 261558400 UNITED HEATLH CARE
MEDICAID 009957930 UNITED HEATLH CARE
Other 26083 UNITED HEATLH CARE
Other 100015381 UNITED HEATLH CARE
Other 8242665 UNITED HEATLH CARE

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