Gade, Kenneth Douglas

Gade, Kenneth Douglas is an sole proprietor health care provider with primary practice located at 8220 Navarre Pkwy , Navarre FL 32566-6943. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Gade, Kenneth Douglas can be contacted via phone (850) 936-4302.

Contact Information

Primary practice address
8220 Navarre Pkwy Navarre FL 32566-6943
Fax: (850) 936-4358
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS20617 Florida
Pharmacy Service Providers / Geriatric 1835G0303X PS20617 Florida

Profile Details

NPI number 1790054740
LBN Legal business name Gade, Kenneth Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2011
Last updated Dec 20th, 2011 - about 13 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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