Jean M Kanidis is a Family in Lakeland, Florida. Jean M Kanidis practices all healthcare services and medical treatments related to Family. The NPI Number for Jean M Kanidis is 1639353410. The last update date is 2023-08-01.
Jean M Kanidis's current location address is 2300 E County Road 540a, Lakeland, Florida. You can contact this provider via phone number 8636807190 and fax number 8662648519. The mailing address for Jean M Kanidis is 2300 E County Road 540a, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean M Kanidis |
|---|---|
| Address | 2300 E County Road 540a, Lakeland, Florida |
| Phone Number | 8636807190 |
| Fax Number | 8662648519 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1639353410 |
|---|---|
| Provider Enumeration Date | 2007-12-28 |
| Last Updated Date | 2023-08-01 |
Provider Mailing Address Detail
| Address | 2300 E County Road 540a |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338133825 |
| Phone Number | 8636807190 |
| Fax Number | 8662648519 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | APRN9307005 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Jean M Kanidis's 1639353410?
The Jean M Kanidis's NPI (National Provider Identifier) Number is 1639353410. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jean M Kanidis located?
The Jean M Kanidis is located at 2300 E County Road 540A, Lakeland, FL 338133825.
What is Jean M Kanidis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jean M Kanidis's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639353410 to Jean M Kanidis?
The Centers for Medicare & Medicaid Services assigned the 1639353410 to Jean M Kanidis on 2007-12-28.
When was the information related to Jean M Kanidis most recently updated or refreshed?
The details pertaining to the Jean M Kanidis, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-01.
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