Kenneth Medley, DC RPH is a
Pharmacist based in Deland, Florida. Kenneth Medley is licensed to practice in Florida (license number PS0021792) and his current practice location is
120 E New York Ave Ste D, Deland, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 873-2990.
NPI number for Kenneth Medley is 1376877100 and his current mailing address is 902 Lake Lindley Dr S, Deland, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376877100.
Healthcare Provider's Profile
| Full Name | Kenneth Medley |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 120 E New York Ave Ste D, Deland, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376877100
- Provider Enumeration Date: 09/26/2009
- Last Update Date: 01/31/2013
Medical Identifiers
Medical identifiers for Kenneth Medley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376877100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CH9522 (Florida) | Secondary |
| 183500000X | Pharmacist | PS0021792 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Medley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Medley, DC RPH
902 Lake Lindley Dr S,
Deland, FL 32724-2565
Ph: () - | Kenneth Medley, DC RPH
120 E New York Ave Ste D,
Deland, FL 32724-5527
Ph: (386) 873-2990 |
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