Search › Florida › 332B00000X
Kenneth Wilson
NPI 1619567872 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2081 Chaffee Rd S Lot 119
Jacksonville, FL 32221 - Phone
- (904) 834-9093
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida