Individual
MR. KENNETH M LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3830-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257-9244
(904) 403-0593
Mailing address
3830-3 WILLIAMSBURG PARK BLVD, JACKSONVILLE, FL 32257-9244
(904) 403-0593
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11015229
FL
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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