Provider Demographics
NPI:1073671525
Name:CONSIDINE, KENNETH RONALD
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:RONALD
Last Name:CONSIDINE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4851 WEST GANDY BLVD
Mailing Address - Street 2:313
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-3039
Mailing Address - Country:US
Mailing Address - Phone:813-220-4139
Mailing Address - Fax:
Practice Address - Street 1:4851 WEST GANDY BLVD
Practice Address - Street 2:313
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-3039
Practice Address - Country:US
Practice Address - Phone:813-220-4139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide