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Individual

KENYA HEBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CTRS

Contact information

Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-6000
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
RECREATION THERAPY
Enumeration date
03/30/2021
Last updated
03/30/2021
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