Hodor, Kenneth Richard

Hodor, Kenneth Richard is an individual health care provider with primary practice located at 20295 Ne 29Th Pl Suite# 300, Aventura FL 33180-4109. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hodor, Kenneth Richard can be contacted via phone (305) 932-7366.

Contact Information

Primary practice address
20295 Ne 29Th Pl Suite# 300 Aventura FL 33180-4109
Phone: (305) 932-7366
Fax: (305) 932-1271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0017075 Florida

Profile Details

NPI number 1184686685
LBN Legal business name Hodor, Kenneth Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1184686685 NPPES
Florida Other 0525847007 CIGNA
Florida Other 4592937 CIGNA
Florida Other 91939 CIGNA
Florida Other 200075 CIGNA

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