KEVAN MICHAEL POLEY


Address: 1845 Jaclif Ct, Tallahassee, FL 32308-4430
Phone: 8509992328

KEVAN MICHAEL POLEY (NPI# 1720623036) 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) 1720623036
Entity Type Individual
Full Name KEVAN MICHAEL POLEY
Credential FNP-BC
Practice Address 1845 Jaclif Ct
Tallahassee
FL 32308-4430
Mailing Address 1112 S Magnolia Dr Apt K202
Tallahassee
FL 32301-4681
Practice Telephone 8509992328
Mailing Telephone 8504509096
Enumeration Date 2019-11-11
Last Update Date 2019-11-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
11003136 FL Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 11003136 FL Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
11003136 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1845 JACLIF CT
City TALLAHASSEE
State FL
Zip Code 32308-4430

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487607586 Stephen W. Duncan Obstetrics & Gynecology 1845 Jaclif Ct, Tallahassee, FL 32308-4430 2006-05-18
1619467545 Capital Transitional Center Pa Internal Medicine 1845 Jaclif Ct, Tallahassee, FL 32308 2018-05-16
1801248356 Capital Nephrology Clinic, P.a. Internal Medicine 1845 Jaclif Ct, Tallahassee, FL 32308 2016-07-08
1568762763 Rene Armando Garcia Internal Medicine 1845 Jaclif Ct, Tallahassee, FL 32308-4430 2010-10-22
1316268469 Hiren Jagdish Joshi Internal Medicine 1845 Jaclif Ct, Tallahassee, FL 32308-4430 2010-06-11
1568785418 Meridian Clinic LLC Pain Medicine 1845 Jaclif Ct, Tallahassee, FL 32308-4430 2010-03-07
1427232347 Stephen W Duncan Md Pl Obstetrics & Gynecology 1845 Jaclif Ct, Tallahassee, FL 32308-4430 2007-12-27
1326107384 Karen Camille Krueger Neuromusculoskeletal Medicine & OMM 1845 Jaclif Ct, Suite B, Tallahassee, FL 32308-4430 2006-12-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215588306 Jmc Tallahassee, LLC Preventive Medicine 1838 Jacliff Court, Tallahassee, FL 32308 2019-09-20
1972165108 Covenant Home Health Care, LLC Home Health 1921 Capital Circle Ne, Tallahassee, FL 32308 2019-07-09
1548735798 North Florida Rehab Solutions Hospitalist 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 2018-10-03
1013491596 Injury and Rehab Centers of North Florida, LLC Neuromusculoskeletal Medicine & OMM 2268 Wednesday Street, Tallahassee, Florida, FL 32308 2018-09-20
1487133625 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 2018-08-08
1629566724 Total Health & Wellness Home Care, LLC Home Health 1325 Mahan Dr., Tallahassee, FL 32308 2018-04-25
1669979480 Beth North, Lcsw, LLC Social Worker 1325 Mahan Drive, Tallahassee, FL 32308 2018-04-09
1750885919 Robert E Ashmore Jr Md Obstetrics & Gynecology 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 2018-03-22
1225547243 William Michael Kunkle Physician Assistant 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 2017-09-21
1235657834 Traci R Raybon Occupational Therapist 1924 Hidden Valley, Tallahassee, FL 32308 2017-09-03
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447470836 Hui-hung Wang Family Medicine 2530 Capital Cir Ne, Tallahassee, FL 32308-4104 2007-04-26
1851402986 Andrew M. Scanameo Family Medicine 2565 Capital Medical Blvd, Tallahassee, FL 32308 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811598105 Foundations Medical Center Pllc Family Medicine 4467 Commons Dr W Ste F-g, Destin, FL 32541-8454 2020-11-04
1831704345 Vasundhara Kuchibhotla Family Medicine 1630 Sw 75th Ter, Gainesville, FL 32607-6604 2020-09-11
1356952170 Discreet Health Solutions, LLC Family Medicine 7124 Pelican Island Dr, Tampa, FL 33634-7463 2020-08-14
1033728019 Nana Aisha Garba Family Medicine 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 2020-07-27
1043838451 Lisa M Parker Family Medicine 7955 Bay St Ste 2, Sebastian, FL 32958-3282 2020-07-13
1699390336 Rosenie B Jasmin Family Medicine Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 2020-06-09
1588287239 Sarai L Gonzalez Family Medicine 16182 Nw 21st St, Pembroke Pines, FL 33028-1255 2020-05-28
1184247033 Wellness Solutions 2020 LLC Family Medicine 2300 N Commerce Pkwy Ste 321, Weston, FL 33326-3257 2020-05-27
1780207910 Homeville Medical Care Family Medicine 11040 Nw 18th Ct, Plantation, FL 33322-3407 2020-05-21
1942829536 Health Medical Ultra Limited Liability Company Family Medicine 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 2020-04-13
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Competitor

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City TALLAHASSEE
Zip Code 32308

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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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