Individual
GILBERT KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 826-4700
Mailing address
8068 CATAWBA DRIVE, ACKSONVILLE, FL 32217
(904) 448-8647
(904) 448-8647
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0088046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71635
BCBS
FL
Enumeration date
03/09/2006
Last updated
07/21/2022
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