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NPI Code Detail

MEDICARE: KENNETH ARTHUR NEIFELD M.D.

MEDICARE: KENNETH ARTHUR NEIFELD 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
1207R00000XInternal Medicine PhysicianME64972FL

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

General Provider Information

NPI Number : 1669400586
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH ARTHUR NEIFELD M.D.
Provider Business Mailing Address
First Line : 2191 9TH AVENUE NORTH
Second Line : SUITE 110
City : ST PETERSBURG
State : FL
Zip : 33713-7147
Country : US
Telephone Number : 727-820-7778
Fax Number : 727-820-7779
Provider Business Practice Location Address
First Line : 8900 PARK BLVD
Second Line :
City : SEMINOLE
State : FL
Zip : 33777-4119
Country : US
Telephone Number : 727-545-4545
Fax Number : 727-548-1360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 11/12/2018

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