Hazlett, Kenneth S

Hazlett, Kenneth S is an individual health care provider with primary practice located at 701 W Cocoa Beach Cswy , Cocoa Beach FL 32931-3585. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Hazlett, Kenneth S can be contacted via phone (321) 799-7111.

Contact Information

Primary practice address
701 W Cocoa Beach Cswy Cocoa Beach FL 32931-3585
Fax: (770) 237-4866
Website:

Profile Details

NPI number 1023026945
LBN Legal business name Hazlett, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Aug 5th, 2013 - about 11 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 1023026945 NPPES
Florida Other 43699 BCBS
Florida Other 300137407 BCBS
Florida MEDICAID 254743100 BCBS

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