Individual
DR. KENNETH COUNSELMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 KENMORE RD, PENSACOLA, FL 32503-7462
(850) 471-7729
(850) 471-7737
Mailing address
312 KENMORE RD, PENSACOLA, FL 32503-7462
(850) 471-7729
(850) 471-7737
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
43593
FL
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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