Sands, Kenneth C

Sands, Kenneth C is an individual health care provider with primary practice located at 709 S Harbor City Blvd Suite 100, Melbourne FL 32901-1938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Sands, Kenneth C can be contacted via phone (321) 725-2225.

Contact Information

Primary practice address
709 S Harbor City Blvd Suite 100 Melbourne FL 32901-1938
Phone: (321) 725-2225
Fax: (321) 308-0635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 055884 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME110558 Florida

Profile Details

NPI number 1669449575
LBN Legal business name Sands, Kenneth C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Apr 29th, 2016 - about 8 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 1669449575 NPPES
Georgia MEDICAID 365707881A
Georgia Other 14F5Z
Georgia MEDICAID 003912700

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