Individual
KENNETH RAYE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701
(727) 767-4341
(727) 767-8516
Mailing address
201 6TH ST E, TIERRA VERDE, FL 33715-2243
(727) 867-1517
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
ME37564
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035976900
—
FL
Enumeration date
01/03/2006
Last updated
03/03/2010
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