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Provider Information for 1528589173

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

KENNETH PHILLIP ADDITON ARNP

Gender: MALE

Individual NPI: 1528589173

Calendar   Last Updated:  2017-07-05
  Certification Date: 

Details

Name Value
NPI 1528589173
Enumeration Date 2017-07-05
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1 TAMPA GENERAL CIRCLE ATTN: PASTORAL CARE DEPT
TAMPA, FL 33606
United States

Phone: 813-844-7063 | Fax:
View Map External Link
Primary Practice Address 1 TAMPA GENERAL CIR
TAMPA, FL 33606-3571
United States

Phone: #(813) 844-7063 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family FL F0617159