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Contact Information

KERRI M LYDON, MD
655 W 8TH ST
JACKSONVILLE, FL32209-6511
 Phone: 904-244-4195
 Fax: 904-244-4908
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for KERRI M LYDON · (Female)

NPI # 1265851141
Status Active
Credentials MD
Entity Individual
Enumeration date 04/08/2014
Last updated 04/07/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME145304
  • TX License # BP10049547
Hospital affiliation(s)
  • SHANDS JACKSONVILLE MEDICAL CENTER - (Acute Care)
    655 W 8TH ST
    JACKSONVILLE, FL 32209
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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