Hazell, Kenneth William

Hazell, Kenneth William is an individual health care provider with primary practice located at 525 S Federal Hwy , Deerfield Beach FL 33441-4100. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hazell, Kenneth William can be contacted via phone (954) 421-8181.

Contact Information

Primary practice address
525 S Federal Hwy Deerfield Beach FL 33441-4100
Phone: (954) 421-8181
Fax: (954) 426-2967
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN1727482 Florida

Profile Details

NPI number 1275669780
LBN Legal business name Hazell, Kenneth William
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jan 23rd, 2020 - about 5 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 1275669780 NPPES
Florida MEDICAID 304834900

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