Individual
KENOL CICERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1501 11TH ST, WEST PALM BEACH, FL 33401-3038
(561) 537-9028
Mailing address
1501 11TH ST, WEST PALM BEACH, FL 33401-3038
(561) 537-9028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11003887
FL
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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