Gustke, Kenneth
Gustke, Kenneth is an individual health care provider with primary practice located at 13020 N Telecom Pkwy , Temple Terrace FL 33637-0925. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Gustke, Kenneth can be contacted via phone (813) 978-9700.Contact Information
Primary practice address
13020 N Telecom Pkwy
Temple Terrace FL 33637-0925
Phone: (813) 978-9700
Fax: (813) 558-6129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | ME38723 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME38723 | Florida |
Profile Details
| NPI number | 1144225855 |
|---|---|
| LBN Legal business name | Gustke, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | May 14th, 2018 - about 6 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 | 1144225855 | NPPES |
| Florida | Other | 200001638 | RAILROAD MEDICARE |
| Florida | Other | 30375 | RAILROAD MEDICARE |
| Florida | Other | 4240449 | RAILROAD MEDICARE |
| Florida | Other | 2314249 | RAILROAD MEDICARE |
| Florida | Other | 211378 | RAILROAD MEDICARE |
| Florida | MEDICAID | 065578300 | RAILROAD MEDICARE |
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