Kedem, Caroline T

Kedem, Caroline T is an individual health care provider with primary practice located at 3725 11Th Cr , Vero Beach FL 32960-4804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kedem, Caroline T can be contacted via phone (772) 562-0163.

Contact Information

Primary practice address
3725 11Th Cr Vero Beach FL 32960-4804
Fax: (772) 567-5631
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME90433 Florida

Profile Details

NPI number 1295736692
LBN Legal business name Kedem, Caroline T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Sep 6th, 2012 - about 12 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 1295736692 NPPES
Florida Other 44064 BLUE CROSS/BLUE SHIELD

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