Crismond, Kevin Daniel

Crismond, Kevin Daniel is an individual health care provider with primary practice located at 8773 Perimeter Park Ct , Jacksonville FL 32216-1165. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Crismond, Kevin Daniel can be contacted via phone (904) 493-3390.

Contact Information

Primary practice address
8773 Perimeter Park Ct Jacksonville FL 32216-1165
Phone: (904) 493-3390
Fax: (904) 493-3395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS7896 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OS7896 Florida

Profile Details

NPI number 1164428447
LBN Legal business name Crismond, Kevin Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 4th, 2016 - about 8 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 1164428447 NPPES
Georgia Other 003174436A GEORGIA MEDICAID
Georgia Other 152348 GEORGIA MEDICAID
Georgia Other 2610299-00 GEORGIA MEDICAID
Georgia Other 47222 GEORGIA MEDICAID
Georgia Other 45681 GEORGIA MEDICAID
Georgia Other 264319 GEORGIA MEDICAID
Georgia Other 110220060 GEORGIA MEDICAID
Georgia Other E2746Y GEORGIA MEDICAID
Georgia Other 2568802-00 GEORGIA MEDICAID

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