Organization Name: | CLAUDE J KENOL |
NPI Number: | 1144435892 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLAUDE J KENOL (PRESIDENT) |
Mailing Address: | 4730 Golden Gate Pkwy Ste A Naples |
State: | FL US |
Postal Code: | 341166967 |
Phone Number: | 2394038484 |
Fax Number: | 2394034775 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME74930 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |