Individual
DR. KENNETH ADAM TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
13330 USF LAUREL DR, 3RD FLOOR, TAMPA, FL 33612-6601
(813) 974-8613
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT29378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016095100
—
FL
01
—
Y0QX8
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/15/2015
Last updated
03/17/2016
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