Individual
KENNETH WAYNE SPILIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6152 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-8722
(352) 794-5086
(352) 794-5089
Mailing address
8676 E MOCCASIN SLOUGH RD, INVERNESS, FL 34450-6127
(352) 637-0320
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1642
FL
363AM0700X
Medical Physician Assistant
5601004450
MI
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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