Kendall, Lisa King

Kendall, Lisa King is an individual health care provider with primary practice located at 703 Virginia St , Dunedin FL 34698-6615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kendall, Lisa King can be contacted via phone (727) 734-4000.

Contact Information

Primary practice address
703 Virginia St Dunedin FL 34698-6615
Phone: (727) 734-4000
Fax: (727) 738-5037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201503 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP000767 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9441597 Florida

Profile Details

NPI number 1720077134
LBN Legal business name Kendall, Lisa King
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Feb 14th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720077134 NPPES
Florida MEDICAID 101609400
Florida Other D4Z1M

Popular Providers