Gage, Kenneth Leslie

Gage, Kenneth Leslie is an sole proprietor health care provider with primary practice located at 12902 Usf Magnolia Dr Mailstop Wcb-Rad Md/Opi, Tampa FL 33612-9416. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gage, Kenneth Leslie can be contacted via phone (813) 745-1573.

Contact Information

Primary practice address
12902 Usf Magnolia Dr Mailstop Wcb-Rad Md/Opi Tampa FL 33612-9416
Phone: (813) 745-1573
Fax: (813) 745-6070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0074165 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME119590 Florida
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X D74165 Maryland
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X ME119590 Florida
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X ME119590 Florida
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X D0074165 Maryland

Profile Details

NPI number 1669640348
LBN Legal business name Gage, Kenneth Leslie
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2008
Last updated Apr 24th, 2024 - about last year

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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