Kris, Edward Stephen

Kris, Edward Stephen is an individual health care provider with primary practice located at 2800 S Seacrest Blvd Suite 150, Boynton Beach FL 33435-7961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kris, Edward Stephen can be contacted via phone (561) 734-1888.

Contact Information

Primary practice address
2800 S Seacrest Blvd Suite 150 Boynton Beach FL 33435-7961
Phone: (561) 734-1888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME71114 Florida

Profile Details

NPI number 1619943669
LBN Legal business name Kris, Edward Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jan 14th, 2016 - about 8 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 1619943669 NPPES
Florida Other 186635 AMERIGROUP
Florida Other 42547 AMERIGROUP
Florida MEDICAID 266397000 AMERIGROUP

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