Individual
KENNETH KAY HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
(386) 238-3229
(386) 238-3292
Mailing address
350 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
44229
CO
2085R0202X
Diagnostic Radiology Physician
M-9423
ID
2085R0202X
Diagnostic Radiology Physician
Primary
ME54914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003325100
—
FL
01
—
09285
BCBS
FL
01
—
1477512747
TRICARE
FL
Enumeration date
03/23/2006
Last updated
06/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us