Ciardiello, Kenneth A
Ciardiello, Kenneth A is an sole proprietor health care provider with primary practice located at 6400 Davis Blvd Ste 104 , Naples FL 34104-5321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ciardiello, Kenneth A can be contacted via phone (239) 624-0650.Contact Information
Primary practice address
6400 Davis Blvd Ste 104
Naples FL 34104-5321
Phone: (239) 624-0650
Fax: (239) 624-0651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME134560 | Florida |
Profile Details
| NPI number | 1184719395 |
|---|---|
| LBN Legal business name | Ciardiello, Kenneth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Dec 30th, 2018 - about 7 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 | 1184719395 | NPPES |
| Florida | Other | KG508 | MEDICARE |
| Florida | Other | 31AWY | MEDICARE |
| Florida | MEDICAID | 100801100 | MEDICARE |
| Florida | MEDICAID | 004096550 | MEDICARE |
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