Byerly, Kenneth
Byerly, Kenneth is an individual health care provider with primary practice located at 1503-1507 Bill Beck Blvd , Kissimmee FL 34744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Byerly, Kenneth can be contacted via phone (407) 343-2050.Contact Information
Primary practice address
1503-1507 Bill Beck Blvd
Kissimmee FL 34744
Phone: (407) 343-2050
Fax: (407) 343-2169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME50645 | Florida |
Profile Details
| NPI number | 1194799270 |
|---|---|
| LBN Legal business name | Byerly, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Oct 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194799270 | NPPES |
| Florida | MEDICAID | 048390700 |
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