Dr. Kenyon Mcgill Fort
Oral and Maxillofacial Pathology
7135 Dr. M. L. King Jr., Street North
StPetersburg
, Florida 33702
Dr. Kenyon Mcgill Fort
Oral and Maxillofacial Pathology
7135 Dr. M. L. King Jr., Street North
StPetersburg
, Florida 33702
(727) 525-7223
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Kenyon Mcgill Fort
- 7135 Dr. M. L. King Jr., Street North
- St. Petersburg, FL
- Zip : 33702
- Fax : (727) 525-7223
- Phone : (727) 525-5455
Second Address
- Dr. Kenyon Mcgill Fort
- 7135 Dr. M. L. King Jr., Street North
- St. Petersburg, FL
- Zip : 33702
- Fax : (727) 525-7223
- Phone : (727) 525-5455
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | DN0012496 | FL |
National Provider Identifier
| NPI | 1396830741 |
|---|---|
| Provider Name | Dr. Kenyon Mcgill Fort |
| First Address | St. Petersburg, FL 33702 |
| Second Address | St. Petersburg, FL 33702 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U55707 | (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.