| Doctor Name: | KENNETH GUSTKE |
| NPI Number: | 1144225855 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME38723 |
| Business Practice Address: | 13020 N Telecom Pkwy Temple Terrace, FL - 336370925 |
| Business Phone Number: | 8139789700 |
| Business Fax Number: | 8139725055 |
| Mailing Address: | 13020 N Telecom Pkwy, TEMPLE TERRACE |
| State: | FL |
| Postal Code: | 336370925 |
| Phone Number: | 8139789700 |
| Fax Number: | 8139725055 |
| NPI Enumeration Date: | 06/17/2005 |
| NPI Last Update Date: | 04/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207XS0114X |
| License Number: | ME38723 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Orthopaedic Surgery |
| Taxonomy Specialization: | Adult Reconstructive Orthopaedic Surgery |
| Taxonomy Definition: | Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |