Kenson Belizaire
Nurse Practitioner, Family in Lake Worth, FL. Individual provider (NPI-1).
NPI number1073180352
StatusActive
Last updated in NPPESMay 2, 2023
Details
- NPI
- 1073180352
- Entity type
- Individual (NPI-1)
- Name
- Kenson Belizaire
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2021
- Certification date
- May 2, 2023
- Last updated
- May 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | aprn11013409 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4777 Capital DrLake Worth, FL 33463-8186
Phone 954-864-4191
Mailing address
4777 Capital DrLake Worth, FL 33463-8186
Phone 954-864-4191
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All 102 Family Nurse Practitioner providers in Lake Worth · All 3,011 providers in Lake Worth
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