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Contact Information

KENNETH JOHN, MD
1600 SW ARCHER RD
GAINESVILLE, FL32610-4923
 Phone: 139-630-2147
 Fax:
 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 KENNETH JOHN · (Male)

NPI # 1396302147
Status Active
Credentials MD
Entity Individual
Enumeration date 05/28/2019
Last updated 09/05/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME168470
  • RI License # LP04885
  • FL Medicaid 122871900
Hospital affiliation(s) Not Available
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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