KENNETH JAMES KEHOE (NPI# 1679122105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679122105 |
Entity Type | Individual |
Full Name | KENNETH JAMES KEHOE |
Credential | MSN FNP-C APRN CEN |
Practice Address |
608 Dorothy Cir Eustis FL 32726-3954 |
Practice Telephone | 3522500045 |
Mailing Telephone | 3522500045 |
Enumeration Date | 2019-09-07 |
Last Update Date | 2019-09-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11004033 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
608 DOROTHY CIR |
City | EUSTIS |
State | FL |
Zip Code | 32726-3954 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508497637 | Alton Emory Kinlaw | Pharmacist | 99 Hillside Drive, Eustis, FL 32726 | 2020-01-28 |
1053833426 | Nalia Elizabeth Alicea | Behavioral Analyst | 949 Marietta Lane, Eustis, FL 32726 | 2017-07-07 |
1760840938 | Beautiful Angels LLC | Exclusive Provider Organization | 2208 Virginia Avenue, Eustis, FL 32726 | 2016-02-03 |
1902274624 | Breakthrough Transitions LLC | Social Worker | 2201 S. Bay Street, Suite B-2, Eustis, FL 32726 | 2015-09-11 |
1104223916 | Integrative Physical Medicine of Mount Dora LLC | Specialist | 2818 S Bay St, Eustis, FL 32726 | 2014-11-21 |
1154763290 | Irina N Krasilova | Pharmacist | 1950 Sr 19 N, Eustis, FL 32726 | 2013-07-17 |
1063773679 | Mangalmurti LLC | Pharmacy | 17435 Us Highway 441, Suite-102, Eustis, FL 32726 | 2012-05-31 |
1477813806 | My Darling Angels Home Companion Services | Private Vehicle | 102 Morningview Dr, Eustis, FL 32726 | 2012-05-18 |
1801166186 | Akhlaqus Chowdhury | Pharmacist | 2005 North Sr 19, Eustis, FL 32726 | 2012-01-04 |
1316269244 | Kamlesh Patel | Pharmacist | 2705 Cotton Ct, Eustis, FL 32726 | 2010-02-19 |
Find all providers in zip 32726 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528689338 | Aisha M Acevedo Sanchez | Nurse Practitioner | 24744 Leonard Way, Eustis, FL 32736-9682 | 2020-05-04 |
1982244661 | Jennifer June Cline | Nurse Practitioner | 36435 Ranch Rd, Eustis, FL 32736-8411 | 2020-01-10 |
1912903592 | Debbie J Boyd | Nurse Practitioner | 2000 Prevatt St, Eustis, FL 32726-6149 | 2005-06-28 |
1942725163 | Mary Jane Bailey | Nurse Practitioner | 2300 Kurt St, Eustis, FL 32726-6169 | 2017-08-09 |
1760850168 | Estrellita L Lu | Nurse Practitioner | 1101 S Eustis St, Eustis, FL 32726-5558 | 2015-09-02 |
1982088597 | Danielle Mathis | Nurse Practitioner | 720 N Bay St, Eustis, FL 32726-2964 | 2015-07-13 |
1265819130 | Advanced Primary Care Associates, P.a. | Nurse Practitioner | 1101 S Eustis St, Eustis, FL 32726-5558 | 2015-04-29 |
1326441015 | Lori Kosmicki | Nurse Practitioner | 720 N Bay St Ste 11, Eustis, FL 32726-2964 | 2014-10-08 |
1346682671 | Bobbie Leanne Nesmith | Nurse Practitioner | 2300 Kurt St, Eustis, FL 32726-6169 | 2013-07-29 |
1578809141 | Aimee Gilmet | Nurse Practitioner | 720 N Bay St Ste 11, Eustis, FL 32726-2964 | 2012-12-29 |
Find all providers in EUSTIS |
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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.