Individual
KENNETH W STATHOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 N 25TH AVE, HOLLYWOOD, FL 33020-3405
(954) 921-6494
Mailing address
1111 N 25TH AVE, HOLLYWOOD, FL 33020-3405
(954) 921-6494
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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