Meyer, Kenneth S

Meyer, Kenneth S is an individual health care provider with primary practice located at 820 Prudential Dr Ste 515 Credentialing Department, Jacksonville FL 32207-8207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Meyer, Kenneth S can be contacted via phone (904) 396-4886.

Contact Information

Primary practice address
820 Prudential Dr Ste 515 Credentialing Department Jacksonville FL 32207-8207
Phone: (904) 396-4886
Fax: (904) 398-0496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME59676 Florida

Profile Details

NPI number 1891764650
LBN Legal business name Meyer, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Dec 31st, 2018 - about 6 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 1891764650 NPPES
Florida MEDICAID 053516800
Florida Other P00265784

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