Hines, Kenneth Kay

Hines, Kenneth Kay is an individual health care provider with primary practice located at 350 N Clyde Morris Blvd , Daytona Beach FL 32114-2733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hines, Kenneth Kay can be contacted via phone (386) 238-3229.

Contact Information

Primary practice address
350 N Clyde Morris Blvd Daytona Beach FL 32114-2733
Phone: (386) 238-3229
Fax: (386) 238-3292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 44229 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-9423 Idaho
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME54914 Florida

Profile Details

NPI number 1477512747
LBN Legal business name Hines, Kenneth Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jun 13th, 2023 - about last year

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 1477512747 NPPES
Florida Other 1477512747 TRICARE
Florida MEDICAID 003325100 TRICARE
Florida Other 09285 TRICARE

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