Organization
KG HEALTH PARTNERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN SCHMIDT (COO)
(727) 796-6900
Entity
Organization
Contact information
Practice address
6021 142ND AVE N, CLEARWATER, FL 33760-2822
(727) 796-6900
Mailing address
6021 142ND AVE N, CLEARWATER, FL 33760-2822
(727) 796-6900
(727) 669-8417
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
HCC10003
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38362
BCBS
FL
01
—
CI8898
RAILROAD MEDICARE
—
05
—
M999
—
SC
Enumeration date
07/26/2005
Last updated
09/18/2025
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