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Individual

MR. KENNETH COYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.R.N.P.

Contact information

Practice address
7315 HUDSON AVE, HUDSON, FL 34667-1158
(727) 868-9563
(727) 869-6909
Mailing address
PO BOX 5515, HUDSON, FL 34674-5515
(727) 868-9563
(727) 869-6909

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1064282 ARNP
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1064282 ARNP
LICENSE NUMBER
FL
Enumeration date
01/23/2007
Last updated
07/09/2007
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