Kenneth Devault in Jacksonville - Gastroenterology

Kenneth Devault - NPI 1386633253

Kenneth Devault is a Gastroenterology in Jacksonville, Florida. Kenneth Devault practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Kenneth Devault is 1386633253. The last update date is 2020-08-28.

Kenneth Devault's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Kenneth Devault is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Devault
Address 4500 San Pablo Rd S, Jacksonville, Florida
Phone Number 9049532000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1386633253
Provider Enumeration Date 2005-10-13
Last Updated Date 2020-08-28

Provider Mailing Address Detail

Address 4500 San Pablo Rd S
City Jacksonville
State Florida (FL)
Post Code 322241865
Phone Number 9049532000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No ME61522
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

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FAQs about Kenneth Devault

What is the unique 10-digit identification code assigned to Kenneth Devault by the Centers for Medicare & Medicaid Services?

The Kenneth Devault has been issued the NPI (National Provider Identifier) 1386633253, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kenneth Devault's facilities are situated?

The facilities of Kenneth Devault are physically located at the following address: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.

What is Kenneth Devault's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kenneth Devault is Gastroenterology, and the taxonomy classification code that categorizes this area of expertise is 207Rg0100X.

On what date was the 1386633253 assigned to Kenneth Devault?

The Kenneth Devault was issued its 1386633253 on 2005-10-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Kenneth Devault, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth Devault, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-28.

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