Individual
KENNETH KUSHNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5111 BAYMEADOWS RD, SUITE 8, JACKSONVILLE, FL 32217-4800
(904) 737-1193
Mailing address
11635 THORNAPPLE DR, JACKSONVILLE, FL 32223-1610
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME15204
FL
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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