Gilmore, Kenneth

Gilmore, Kenneth is an individual health care provider with primary practice located at 10256 S Us Highway 1 , Port Saint Lucie FL 34952-5615. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Gilmore, Kenneth can be contacted via phone (727) 233-7944.

Contact Information

Primary practice address
10256 S Us Highway 1 Port Saint Lucie FL 34952-5615
Phone: (727) 233-7944
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1770693673
LBN Legal business name Gilmore, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1770693673 NPPES
Florida Other PTA19504 LICENSE #

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