Individual
DR. KENNETH L. JANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4443 LYONS RD STE 211, COCONUT CREEK, FL 33073-4388
(954) 405-0501
(954) 301-8501
Mailing address
4443 LYONS RD STE 211, COCONUT CREEK, FL 33073-4388
(954) 405-0501
(954) 301-8501
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
ME111647
FL
208800000X
Urology Physician
036-043934
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-043934
—
IL
Enumeration date
04/13/2006
Last updated
06/18/2019
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