Kenyon M Fort (NPI# 1396830741, PAC ID# 4183644297) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1396830741 |
| PAC ID by PECOS | 4183644297 |
| Professional Enrollment ID | I20051205000602 |
| Full Name | Kenyon M Fort |
| Address |
7135 Dr M L King Jr St N St Petersburg FL 33702-5819 |
| Phone Number | 7275255455 |
| Gender | M |
| Credential | DDS |
| Graduation Year | 1989 |
| Primary Specialty | ORAL SURGERY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100032 | BAYFRONT HEALTH - ST PETERSBURG |
| Address | Phone | Organization |
|---|---|---|
| 7135 Dr M L King Jr St N, St Petersburg, FL 33702-5819 | 7275255455 |
| Street Address |
7135 DR M L KING JR ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip | 33702-5819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas G Quinlan | Psychologist, Clinical | 8479 Dr Mlk Jr St N, St Petersburg, FL 33702 | |
| Eden's Valentin | Internal Medicine | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Felipe A Alvarado Amado | Internal Medicine | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Kantilal N Bhadja | Internal Medicine | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Ruperl C Patel | Family Medicine | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Anne C Thorne-picard | Nurse Practitioner | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Nora Koziel | Nurse Practitioner | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Bina Jain | Internal Medicine | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Babette Merchand Pachence | Internal Medicine | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Denise Tatem | Nurse Practitioner | Optumcare Florida, LLC | 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 |
| Find all physicians in zip 33702 | |||
| City | ST PETERSBURG |
| Zip Code | 33702 |
| Specialty | ORAL SURGERY |
| City + Specialty | ST PETERSBURG + ORAL SURGERY |
Please comment or provide details below to improve the information on Kenyon M Fort.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.