Hentschel, Kenneth

Hentschel, Kenneth is an individual health care provider with primary practice located at 4205 Belfort Rd Ste 1100 , Jacksonville FL 32216-5876. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Hentschel, Kenneth can be contacted via phone (904) 450-6300.

Contact Information

Primary practice address
4205 Belfort Rd Ste 1100 Jacksonville FL 32216-5876
Phone: (904) 450-6300
Fax: (904) 281-5866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X OS8644 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 057817 Georgia
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X OS8644 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X OS8644 Florida

Profile Details

NPI number 1164405460
LBN Legal business name Hentschel, Kenneth
Credentials DO, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 29th, 2019 - 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 1164405460 NPPES
Florida MEDICAID 2757087-00
Florida MEDICAID 275708700
Florida MEDICAID 212536998A
Florida MEDICAID 212536998B

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