Wilson, Kenneth R

Wilson, Kenneth R is an sole proprietor health care provider with primary practice located at 2081 Chaffee Rd S Lot 119 , Jacksonville FL 32221-1887. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Wilson, Kenneth R can be contacted via phone (904) 834-9093.

Contact Information

Primary practice address
2081 Chaffee Rd S Lot 119 Jacksonville FL 32221-1887
Phone: (904) 834-9093
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Florida

Profile Details

NPI number 1619567872
LBN Legal business name Wilson, Kenneth R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2021
Last updated Jan 21st, 2021 - about 3 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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