Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME104051 | FL |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME104051 | FL |
NPI | 1164628830 |
---|---|
Provider Name | Dr. Kevin M Kaplan |
First Address | Jacksonville, FL 32207-8566 |
Second Address | Jacksonville, FL 32207-8566 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001379300 | (05) | FL |
P00777687 | RAILROAD MEDICARE (01) | FL |