| Kenneth P Pages Md Pa | |
|
508 S Habana Ave Suite 320 Tampa FL 33609-4181 | |
| (813) 878-2200 | |
| (813) 878-2069 |
| Full Name | Kenneth P Pages Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 508 S Habana Ave, Tampa, Florida |
| Authorized Official Name and Position | Kenneth Paul Pages (PRESIDENT) |
| Authorized Official Contact | 8138782200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth P Pages Md Pa 508 S Habana Ave Suite 320 Tampa FL 33609-4181 Ph: (813) 878-2200 | Kenneth P Pages Md Pa 508 S Habana Ave Suite 320 Tampa FL 33609-4181 Ph: (813) 878-2200 |
| NPI Number | 1942321963 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 11/02/2007 |
| Medicare PECOS PAC ID | 8729170592 |
|---|---|
| Medicare Enrollment ID | O20070824000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942321963 | NPI | - | NPPES |
| 1568494482 | Other | FL | NPI |
| AD929 | Other | FL | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0076178 (Florida) | Primary |
| Provider Name | Kenneth P Pages |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568494482 PECOS PAC ID: 2062503345 Enrollment ID: I20070801000611 |
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