Kudelko, Jennifer Lynn

Kudelko, Jennifer Lynn is an individual health care provider with primary practice located at 13644 Walsingham Rd , Largo FL 33774-3532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kudelko, Jennifer Lynn can be contacted via phone (727) 595-2519.

Contact Information

Primary practice address
13644 Walsingham Rd Largo FL 33774-3532
Fax: (727) 595-3872
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS9229 Florida

Profile Details

NPI number 1922097955
LBN Legal business name Kudelko, Jennifer Lynn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Mar 22nd, 2013 - about 11 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 1922097955 NPPES
Other 591273247 UHC EMPIRE PLAN
Other 810603 UHC EMPIRE PLAN
Other 2562320 UHC EMPIRE PLAN
Other 29502 UHC EMPIRE PLAN
Other 29502 UHC EMPIRE PLAN
Other 298652 UHC EMPIRE PLAN
Other 8005755 UHC EMPIRE PLAN
Other 29502 UHC EMPIRE PLAN

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