Lemos, Kenneth Marshal

Lemos, Kenneth Marshal is an individual health care provider with primary practice located at 14555 Cortez Blvd , Brooksville FL 34613-6003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lemos, Kenneth Marshal can be contacted via phone (352) 556-4823.

Contact Information

Primary practice address
14555 Cortez Blvd Brooksville FL 34613-6003
Phone: (352) 556-4823
Fax: (352) 556-4824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101797 Florida

Profile Details

NPI number 1750333209
LBN Legal business name Lemos, Kenneth Marshal
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 15th, 2024 - about last year

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 1750333209 NPPES
Florida MEDICAID 004146500

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