List, Kevin

List, Kevin is an individual health care provider with primary practice located at 1578 W Orange Blossom Trl , Apopka FL 32712-2639. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. List, Kevin can be contacted via phone (407) 635-3240.

Contact Information

Primary practice address
1578 W Orange Blossom Trl Apopka FL 32712-2639
Phone: (407) 635-3240
Fax: (407) 636-7847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME161624 Florida

Profile Details

NPI number 1316407612
LBN Legal business name List, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2019
Last updated Aug 25th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316407612 NPPES
Florida MEDICAID 118675400

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