Archer, Kendis
Archer, Kendis is an sole proprietor health care provider with primary practice located at 4720 Silent Creek Ln , Tallahassee FL 32303-8946. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Archer, Kendis can be contacted via phone (772) 801-9885.Contact Information
Primary practice address
4720 Silent Creek Ln
Tallahassee FL 32303-8946
Phone: (772) 801-9885
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2010040907 | Missouri |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME125164 | Florida |
Profile Details
| NPI number | 1104031061 |
|---|---|
| LBN Legal business name | Archer, Kendis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2007 |
| Last updated | Jul 10th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104031061 | NPPES |
| Florida | Other | ME125164 | MEDICAL LICENSE |
| Florida | Other | 2010040907 | MEDICAL LICENSE |
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