KENNETH WAYNE PONDER

NICEVILLE, FL
NPI1124093737
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  0063310)
Enumeration Date2006-02-18
Last Update Date2007-07-08
Business Address
-- KENNETH WAYNE PONDER M.D.
4566 E HIGHWAY 20 STE 103
NICEVILLE, FL 32578-8838
Phone number: 850-897-1223
Mailing Address
-- KENNETH WAYNE PONDER M.D.
4566 E HIGHWAY 20 STE 103
NICEVILLE, FL 32578-8838
Phone number: 850-897-1223
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