Kenneth M Simon D.O.

NPI 1073502993 - Internal Medicine - 207RX0202X

NPI Details
NPI 1073502993
Gender Male
Enumeration Date 10/14/2005
Last Updated 08/25/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
4255 BOY SCOUT CAMP
NEW SMYRNA BEACH FL, 32168-8896, US
Phone (386) 478-1977
Fax
Business Location
4255 BOY SCOUT ROAD
NEW SMYRNA BEACH FL, 32168, US
Phone (386) 478-1977
Fax
Toxanomy
Taxonomy Code 207RX0202X
License State Florida
License Number OS7658
Remove 1073502993 NPI Number
 

According to our database, Dr. Kenneth M Simon D.O. NPI is 1073502993, taxonomy code is 207RX0202X and license number is OS7658, license state is located at Florida. Kenneth M Simon D.O. physically located at 4255 Boy Scout Camp, New Smyrna Beach FL, 32168-8896. NPI Number Kenneth M Simon D.O. has the Individual type.

Sponsored links

1073502993 NPI number is provided on an as is basis without warranty of any kind. 1073502993 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth M Simon D.O. are for informational purposes only.