Individual
CAROLINE T KEDEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3725 11TH CR, VERO BEACH, FL 32960-4804
(772) 562-0163
(772) 567-5631
Mailing address
3725 11TH CR, VERO BEACH, FL 32960-4804
(772) 562-0163
(772) 567-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME90433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44064
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
08/09/2005
Last updated
09/06/2012
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