Nissim, Kenneth Richard
Nissim, Kenneth Richard is an individual health care provider with primary practice located at 8932 Sw 97Th Ave , Miami FL 33176-1936. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Nissim, Kenneth Richard can be contacted via phone (305) 270-3740.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME85561 | Florida |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207YS0012X | ME85561 | Florida |
Profile Details
NPI number | 1447246392 |
---|---|
LBN Legal business name | Nissim, Kenneth Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2005 |
Last updated | Mar 27th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447246392 | NPPES |
Florida | MEDICAID | 2675617-00 |
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