Kenneth A Son, MD
Urology in Fernandina Beach, FL. Individual provider (NPI-1).
NPI number1417048331
StatusActive
Last updated in NPPESAug 22, 2024
Details
- NPI
- 1417048331
- Entity type
- Individual (NPI-1)
- Name
- Kenneth A Son
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2006
- Certification date
- Aug 22, 2024
- Last updated
- Aug 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | ME111180 | FL | Yes |
| 208800000X | Urology | 043782 | GA | |
| 208M00000X | Hospitalist | ME111180 | FL |
Practice location
1348 S 18th StFernandina Beach, FL 32034-4785
Phone 904-227-2003 · Fax 904-277-2006
Mailing address
Po Box 2421Salt Lake City, UT 84110-2421
Phone 904-202-1034 · Fax 904-376-4107
Other practice locations
463820 Sr 200, Suite 103
Yulee, FL 32097
Yulee, FL 32097
Phone 904-225-8200 · Fax 904-225-9154
619 S 8th St Ste 304
Griffin, GA 30224-4260
Griffin, GA 30224-4260
Phone 706-242-5201
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Cocoa Beach, FL 32931-3585
Phone 321-868-5871
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Urology Physician providers in Fernandina Beach, FL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.