Dr. Kenneth M Simon
Medical Oncology
4255 Boy Scout Camp
New Smyrna Beach
, Florida 32168-8896
Dr. Kenneth M Simon
Medical Oncology
4255 Boy Scout Camp
New Smyrna Beach
, Florida 32168-8896
(386) 478-1977
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dr. Kenneth M Simon
- 4255 Boy Scout Road
- New Smyrna Beach, FL
- Zip : 32168
- Phone : (386) 478-1977
Second Address
- Dr. Kenneth M Simon
- 4255 Boy Scout Camp
- New Smyrna Beach, FL
- Zip : 32168-8896
- Phone : (386) 478-1977
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | OS7658 | FL |
National Provider Identifier
| NPI | 1073502993 |
|---|---|
| Provider Name | Dr. Kenneth M Simon |
| First Address | New Smyrna Beach, FL 32168 |
| Second Address | New Smyrna Beach, FL 32168-8896 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2005 |
| Last Update Date | 25/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 254951400 | (05) | FL |
| F82041 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.