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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH W PONDER MD PA

Active Organization

KENNETH W PONDER MD PA is a Internal Medicine organization located in NICEVILLE, Florida. NPI 1962593574 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · NICEVILLE, FL

Registration Details

NPI Number
1962593574
Provider Type
Organization
NPI Issued
Sep 27, 2006 (19.696976799154 yrs)
Last Updated
Dec 29, 2021
License
ME0063310 (FL)

Practice Information

Address
4566 E HIGHWAY 20 STE 103
NICEVILLE, FL, 325788839
Browse FL providers · Browse ZIP 32578
Phone
8508971223
Fax
8508971237
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Organizations in NICEVILLE, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.