Individual
DR. KENYON MCGILL FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7135 DR. M. L. KING JR., STREET NORTH, ST. PETERSBURG, FL 33702
(727) 525-5455
(727) 525-7223
Mailing address
7135 DR. M. L. KING JR., STREET NORTH, ST. PETERSBURG, FL 33702
(727) 525-5455
(727) 525-7223
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DN0012496
FL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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