Individual
KENNETH F KPUYUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-8084
Mailing address
14221 NW 9TH RD, NEWBERRY, FL 32669-8005
(352) 262-0258
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11016249
FL
Other
Enumeration date
03/22/2022
Last updated
03/28/2022
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