Individual
KENNETH MICHAEL TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4891
(321) 841-2335
Mailing address
701 6TH ST S, ST PETERSBURG, FL 33701-4891
(321) 841-2335
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS18871
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115436100
—
FL
Enumeration date
05/25/2018
Last updated
02/03/2025
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