Individual
KENNETH WILSON BACKSTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2721 DEL PRADO BLVD S, CAPE CORAL, FL 33904-5781
(239) 242-8010
(239) 242-8020
Mailing address
40 BARKLEY CIR STE 3, FORT MYERS, FL 33907-4518
(239) 226-0910
(239) 226-0912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME0050622
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME50622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046206300
—
FL
Enumeration date
10/11/2005
Last updated
03/08/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us