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NPI Code Detail

MEDICARE: DR. RALPH F. KENSELL M.D.

MEDICARE:  DR. RALPH F. KENSELL  M.D.
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
1207P00000XEmergency Medicine PhysicianAK1551921TN
2207Q00000XFamily Medicine PhysicianME 111235FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3930003976OTHERTNRAILROAD MEDICAE
43076448OTHERTNBLUE CROSS
50161833OTHERTNBLUE CROSS

General Provider Information

NPI Number : 1457306607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RALPH F. KENSELL M.D.
Provider Business Mailing Address
First Line : 511 MEDICAL PLAZA DR
Second Line : SUITE 101
City : LEESBURG
State : FL
Zip : 34748-7326
Country : US
Telephone Number : 352-728-6808
Fax Number : 352-728-1743
Provider Business Practice Location Address
First Line : 201 LAGRANDE BLVD
Second Line :
City : THE VILLAGES
State : FL
Zip : 32159-1303
Country : US
Telephone Number : 352-753-0606
Fax Number : 352-365-1003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 11/16/2011

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Directions to “ DR. RALPH F. KENSELL M.D.” Practice Location

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