Washington, Kenneth Raye
Washington, Kenneth Raye is an individual health care provider with primary practice located at 601 5Th St S , St Petersburg FL 33701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pathology, which is considered as his primary health care specialty. Washington, Kenneth Raye can be contacted via phone (727) 767-4341.Contact Information
Primary practice address
601 5Th St S
St Petersburg FL 33701
Phone: (727) 767-4341
Fax: (727) 767-8516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pathology | 207ZP0213X | ME37564 | Florida |
Profile Details
| NPI number | 1417935222 |
|---|---|
| LBN Legal business name | Washington, Kenneth Raye |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Mar 3rd, 2010 - about 14 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 | 1417935222 | NPPES |
| Florida | MEDICAID | 035976900 |
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