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NPI Code Detail

MEDICARE: K&H HEALTHKARE

MEDICARE: K&H HEALTHKARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0006XDevelopmental - Behavioral Pediatrics PhysicianME0054430FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
231351OTHERFLBCBS

General Provider Information

NPI Number : 1376700278
Entity Type Code : Organization
Provider Name (Legal Business Name) : K&H HEALTHKARE
Provider Business Mailing Address
First Line : 408 MANATEE AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1135
Country : US
Telephone Number : 941-922-5366
Fax Number : 941-894-3487
Provider Business Practice Location Address
First Line : 408 MANATEE AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34208-1135
Country : US
Telephone Number : 941-922-5366
Fax Number : 941-894-3487
Authorized Official
Title or Position : OWNER
Name : DR. HELENE R HUBBARD
Credential : PHD, MD
Telephone Number : 941-922-5366
Provider Enumeration Date : 05/19/2008
Last Update Date : 05/19/2008

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408 MANATEE AVE E STE 2
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1013023480 — DR. THOMAS C WILKINSON MD
Practice Location Address:
408 MANATEE AVE E
BRADENTON, FL
34208-1135
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Practice Fax: 941-746-2803
1598871931 — SUZANNE M WILKINSON MD
Practice Location Address:
408 MANATEE AVE E
BRADENTON, FL
34208-1135
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Practice Fax: 941-746-2803
1407962848 — TERRI J GABLE ARNP
Practice Location Address:
408 MANATEE AVE E
BRADENTON, FL
34208-1135
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1871715524 — MARCEL A IONITA MD, PHD
Practice Location Address:
408 MANATEE AVE E STE 2
BRADENTON, FL
34208-1135
Practice Phone: 941-748-1331
Practice Fax: 941-746-2803

Directions to “K&H HEALTHKARE ” Practice Location

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