Kendis Archer in Tallahassee - General Practice
Kendis Archer - NPI 1104031061
Kendis Archer is a General Practice in Tallahassee, Florida. Kendis Archer practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kendis Archer is 1104031061. The last update date is 2021-07-10.
Kendis Archer's current location address is 4720 Silent Creek Ln, Tallahassee, Florida. You can contact this provider via phone number 7728019885. The mailing address for Kendis Archer is 4720 Silent Creek Ln, Tallahassee, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kendis Archer |
---|---|
Address | 4720 Silent Creek Ln, Tallahassee, Florida |
Phone Number | 7728019885 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1104031061 |
---|---|
Provider Enumeration Date | 2007-05-14 |
Last Updated Date | 2021-07-10 |
Provider Mailing Address Detail
Address | 4720 Silent Creek Ln |
---|---|
City | Tallahassee |
State | Florida (FL) |
Post Code | 323038946 |
Phone Number | 7728019885 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
---|---|
Taxonomy | 208D00000X |
Licence No | 2010040907 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
ME125164 | FL | MEDICAL LICENSE | |
2010040907 | MO | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kendis Archer by the Centers for Medicare & Medicaid Services?
The Kendis Archer has been assigned the NPI (National Provider Identifier) 1104031061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kendis Archer?
The Kendis Archer is physically situated at 4720 Silent Creek Ln, in the city of Tallahassee, state of FL, with the postal code 323038946.
What is Kendis Archer's area of expertise and its corresponding taxonomy classification?
The Kendis Archer's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104031061 to Kendis Archer?
The Centers for Medicare & Medicaid Services originally issued the 1104031061 to Kendis Archer on 2007-05-14.
When was the Kendis Archer's information last updated?
The Kendis Archer's information was last updated on 2021-07-10.