Kenneth Michael Kingdon in Miramar - Trauma Surgery

Kenneth Michael Kingdon - NPI 1114067196

Kenneth Michael Kingdon is a Trauma Surgery in Miramar, Florida. Kenneth Michael Kingdon practices all healthcare services and medical treatments related to Trauma Surgery. The NPI Number for Kenneth Michael Kingdon is 1114067196. The last update date is 2015-11-11.

Kenneth Michael Kingdon's current location address is 3601 Sw 160th Ave, Miramar, Florida. You can contact this provider via phone number 8778667123 and fax number 8558552792. The mailing address for Kenneth Michael Kingdon is 3601 Sw 160th Ave, Miramar, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Michael Kingdon
Address 3601 Sw 160th Ave, Miramar, Florida
Phone Number 8778667123
Fax Number 8558552792
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1114067196
Provider Enumeration Date 2007-02-07
Last Updated Date 2015-11-11

Provider Mailing Address Detail

Address 3601 Sw 160th Ave
City Miramar
State Florida (FL)
Post Code 330276308
Phone Number 8778667123
Fax Number 8558552792

Provider's Primary Taxonomy Detail

Speciality Trauma Surgery
Taxonomy 2086S0127X
Licence No P4471
Definition:
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36126885 IL --

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FAQs about Kenneth Michael Kingdon

What is the unique 10-digit identifier code assigned to Kenneth Michael Kingdon by the Centers for Medicare & Medicaid Services?

The Kenneth Michael Kingdon has been issued the NPI (National Provider Identifier) 1114067196 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Kenneth Michael Kingdon?

The Kenneth Michael Kingdon is situated at 3601 Sw 160Th Ave, in the city of Miramar, state of FL, with the zip code 330276308.

What is Kenneth Michael Kingdon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kenneth Michael Kingdon's specialized field of practice is Trauma Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0127X.

When did Kenneth Michael Kingdon receive its 1114067196 assignment?

The Kenneth Michael Kingdon was assigned its 1114067196 on 2007-02-07, which is the date when this unique identifier was issued to the organization.

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

The information related to Kenneth Michael Kingdon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-11-11.

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