Individual
MR. KENNETH LESTER FLOYD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 PROSPECT AVE APT 4B, BRONX, NY 10455-3315
(347) 444-2831
Mailing address
603 PROSPECT AVE APT 4B, BRONX, NY 10455-3315
(347) 444-2831
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
3747A0650X
Attendant Care Provider
—
NY
3747P1801X
Personal Care Attendant
—
NY
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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