ALEXANDER WOODWARD KENNON (NPI# 1053675868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053675868 |
| Entity Type | Individual |
| Full Name | ALEXANDER WOODWARD KENNON |
| Credential | M.D. |
| Practice Address |
727 Us Highway 27 S Sebring FL 33870-2169 |
| Practice Telephone | 8633857183 |
| Mailing Telephone | 8633857183 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | ME136268 | FL | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME136268 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 308 Coliseum Dr, Suite 200, Macon, GA 312173865 | 4787422180 | |
| 727 Us Highway 27 S, Sebring, FL 338702169 | 8633857183 | |
| 400 Avenue K Se Ste 3, Winter Haven, FL 338804123 | 8632937546 | 8632940006 |
| Street Address |
727 US HIGHWAY 27 S |
| City | SEBRING |
| State | FL |
| Zip Code | 33870-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659756377 | Bobbi Jo Hintz | Nurse Practitioner | 727 Us Highway 27 S, Sebring, FL 33870-2169 | 2015-07-23 |
| 1184038119 | Brooke Rogers | Nurse Practitioner | 727 Us Highway 27 S, Sebring, FL 33870-2169 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
| 1407401177 | Divine Family Solutions, LLC | Home Health | 227 Us Hwy North, 221, Sebring, FL 33870 | 2019-08-08 |
| 1881179836 | Two Hearts Companion Homemaker Serv. | In Home Supportive Care | 3320 New York Ave, Sebring, FL 33870 | 2018-09-26 |
| 1144719154 | Hearing Healthcare Solutions Inc | Hearing Aid Equipment | 4206 Sebring Parkway, Sebring, FL 33870 | 2018-05-04 |
| 1093266017 | Choices Counseling Services, LLC | Counselor | 32313 Broadway Street Suite #306, Sebring, FL 33870 | 2016-10-14 |
| 1962959940 | Abundance, Mental Health Counseling LLC | Counselor | 32313 Broadway St, Suite 310, Sebring, FL 33870 | 2016-09-07 |
| 1205221470 | Newsom Surgery Center of Sebring LLC | Clinic/Center | 4211 Us Hwy 27 N, Sebring, FL 33870 | 2015-04-03 |
| 1063805612 | Art of Caring Home Care Services | Home Health | 113 W Center Ave, Sebring, FL 33870 | 2015-03-06 |
| 1508254228 | Lodin Health Imaging Inc | Clinic/Center | 114 -115 Medical Center Ave, Sebring, FL 33870 | 2015-01-05 |
| 1790180594 | Conrad Walters | Pharmacist | 3619 Us Hwy 27 N, Sebring, FL 33870 | 2014-10-23 |
| Find all providers in zip 33870 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827577 | Onspot-fl LLC. | Dermatology | 16461 Domestic Ave, Fort Myers, FL 33912-6008 | 2020-10-08 |
| 1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
| 1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
| 1437517802 | Total Vein and Skin LLC | Dermatology | 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 | 2016-02-01 |
| 1861812851 | Anand Haryani | Dermatology | 8745 N Us Highway 1, Sebastian, FL 32958-7524 | 2014-04-17 |
| 1164841797 | Michael Montuno | Dermatology | 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 | 2014-04-10 |
| 1861813719 | Hillcrest Dermatology and Plastic Surgery P.a. | Dermatology | 733 Highway 466, Lady Lake, FL 32159-6340 | 2013-12-19 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1619232501 | Alliant Dermatology Pa | Dermatology | 8620 E County Road 466, The Villages, FL 32162-3670 | 2012-07-07 |
| 1114218328 | Leavitt Medical Assocaittes of Florida Inc | Dermatology | 1426 E Bloomindale Ave, Valrico, FL 33596 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALEXANDER WOODWARD KENNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.