Individual
KEERTINI KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
8618 SW 103RD STREET RD, OCALA, FL 34481-7705
(352) 304-9880
(352) 304-9885
Mailing address
PO BOX 577, OCALA, FL 34478-0577
(352) 304-8980
(352) 304-9885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME87056
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267314200
—
FL
Enumeration date
08/26/2005
Last updated
10/24/2013
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