KG HEALTH PARTNERS INC NPI 1487654042

NPI Information

NPI: 1487654042
Provider Name: KG HEALTH PARTNERS, INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
13600 ICOT BLVD
CLEARWATER, FL
ZIP 33760
Phone: (888) 290-6321
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KG HEALTH PARTNERS, INC is a general practice in Clearwater, FL. KG HEALTH PARTNERS, INC NPI is 1487654042. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13600 ICOT BLVD
CLEARWATER, FL
ZIP 33760-703
Phone: (888) 290-6321
Fax: (888) 875-1592

The provider's authorized official is Dale F Schmidt .
The authorized official title is Chairman & Ceo and has the following contact phone number (727) 565-1495.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207N00000X	Dermatology				No
2	208D00000X	General Practice				Yes
3	213E00000X	Podiatrist		HCC10003	FLORIDA	No
4	213EP1101X	Podiatrist	Primary Podiatric Medicine			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	38362	OTHER	FLORIDA	BCBS
2	020801000	MEDICAID	FLORIDA
3	CI8898	OTHER		RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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