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General NPI Number Information
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NPI Number | 1417065285
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Entity Type | Individual
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Provider Name | KENNETH L FOX DPM
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 04/25/2013
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Provider Practice Location Address
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Address Line | 9149 SUGAR ESTATE STE. 308
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City | ST THOMAS
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State | VI
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Zip | 00802
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Country | US
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Telephone | 340-774-8819
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Fax | 340-774-9051
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Provider Business Mailing Address
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Address Line | PO BOX 9977
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City | ST THOMAS
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State | VI
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Zip | 00801-2977
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Country | US
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Telephone | 340-774-8819
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Fax | 340-774-9051
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 404
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License Number State | VI
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