Palmer, Kevin Koloseus

Palmer, Kevin Koloseus is an individual health care provider with primary practice located at 9970 Central Park Blvd N 300, Boca Raton FL 33428-2231. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Palmer, Kevin Koloseus can be contacted via phone (561) 488-2200.

Contact Information

Primary practice address
9970 Central Park Blvd N 300 Boca Raton FL 33428-2231
Phone: (561) 488-2200
Fax: (561) 488-1064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 3230 Florida

Profile Details

NPI number 1396962627
LBN Legal business name Palmer, Kevin Koloseus
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396962627 NPPES
Florida MEDICAID 340647400

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