Individual
DR. KENNETH JOSEPH EADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3750 SAN JOSE PL STE 35, JACKSONVILLE, FL 32257-8861
(904) 902-4126
Mailing address
3750 SAN JOSE PL STE 35, JACKSONVILLE, FL 32257-8861
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME107723
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME107723
FL
Other
Enumeration date
01/07/2008
Last updated
04/24/2023
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