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Contact Information

JEFFREY KANNEN, DO
5901 E FOWLER AVE STE 100
TEMPLE TERRACE, FL33617-2305
 Phone: 813-978-9700
 Fax: 813-558-6190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JEFFREY KANNEN · (Male)

NPI # 1447783642
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/05/2017
Last updated 03/26/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OS16865
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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