Individual
DR. KENNETH A CIARDIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6400 DAVIS BLVD STE 104, NAPLES, FL 34104-5321
(239) 624-0650
(239) 624-0651
Mailing address
6400 DAVIS BLVD STE 104, NAPLES, FL 34104-5321
(239) 624-0650
(239) 624-0651
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME134560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004096550
—
CT
05
—
100801100
—
FL
01
—
31AWY
BCBS
FL
01
—
KG508
MEDICARE
FL
Enumeration date
10/04/2006
Last updated
12/30/2018
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