Individual
MR. DANIEL PAUL KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNFA
Contact information
Practice address
110 LONGWOOD AVE, ROCKLEDGE, FL 32956
(321) 636-2211
Mailing address
914 PELICAN LN, ROCKLEDGE, FL 32955-4470
(321) 690-0030
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2518172
FL
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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