MR. KENNETH LEE DABBS


Address: 12332 Race Track Rd, Tampa, FL 33626-3115
Phone: 8884493595

MR. KENNETH LEE DABBS (NPI# 1477882074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477882074
Entity Type Individual
Full Name MR. KENNETH LEE DABBS
Credential MNS
Practice Address 12332 Race Track Rd
Tampa
FL 33626-3115
Mailing Address 904 Creekside Dr
Lewisville
TX 75067-5384
Practice Telephone 8884493595
Mailing Telephone 2392621653
Enumeration Date 2009-12-10
Last Update Date 2016-06-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP121568 TX Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
1010060793 VT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12332 RACE TRACK RD
City TAMPA
State FL
Zip Code 33626-3115

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NPI Name Taxonomy Address Enumeration
1295274371 Mojisola Afolabi Nurse Practitioner 12332 Race Track Rd, Tampa, FL 33626-3115 2017-02-22

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1578098414 Alexis Brooke Cross Speech-Language Pathologist 11672 Crowned Sparrow Ln, Tampa, FL 33626 2017-04-28
1568904084 Megan Krone Assistant Behavior Analyst 2725 Race Track Rd Building Number 5, Westchase, FL 33626 2016-11-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1447864921 Kimberly Marie Hymiller Nurse Practitioner 4600 N Habana Ave Ste 13, Tampa, FL 33614-7123 2020-09-02
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1467065896 Cho Yee Mon Maung Nurse Practitioner 2606 W Waters Ave, Tampa, FL 33614-1835 2020-08-25
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Competitor

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City TAMPA
Zip Code 33626

Improve Information

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Dataset Information

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.

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