NPI 1013619733

Kenith Dsouza

Practitioner Student in an Organized Health Care Education/Training Program Orange Park, FL

Practice location

Address: 2001 Kingsley Ave, Orange Park, FL 32073-5148
Phone: (904) 639-2003

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013619733
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2023
Record last updated: 17 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.