Peters, Kendall K
Peters, Kendall K is an sole proprietor health care provider with primary practice located at 801 N Orange Ave Ste 815 , Orlando FL 32801-5203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Peters, Kendall K can be contacted via phone (407) 898-1436.Contact Information
Primary practice address
801 N Orange Ave Ste 815
Orlando FL 32801-5203
Phone: (407) 898-1436
Fax: (407) 898-6330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME100894 | Florida |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 056206 | Georgia |
Profile Details
| NPI number | 1710926548 |
|---|---|
| LBN Legal business name | Peters, Kendall K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Dec 4th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710926548 | NPPES |
| Florida | Other | 32038 | BCBS |
| Florida | MEDICAID | 789853741 | BCBS |
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