Kerensky, Richard A

Kerensky, Richard A is an individual health care provider with primary practice located at 1601 Sw Archer Rd , Gainesville FL 32608-1135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kerensky, Richard A can be contacted via phone (352) 548-6267.

Contact Information

Primary practice address
1601 Sw Archer Rd Gainesville FL 32608-1135
Phone: (352) 548-6267
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 057236 Georgia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 057236 Georgia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME63131 Florida

Profile Details

NPI number 1649248311
LBN Legal business name Kerensky, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Feb 9th, 2024 - about 7 months 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 1649248311 NPPES
Florida MEDICAID 013106100

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