Individual provider · Type 1 NPI

Kenneth Leslie Gage, MD, PhD

Diagnostic Radiology Physician · Jacksonville, FL

NPI number 1669640348 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (904) 953-2000 Map

Mailing address

12902 Usf Magnolia Dr, Mailstop Wcb-Rad Md/opi
Tampa, FL 33612-9416

Other practice locations

  • 12902 Usf Magnolia Dr, Mailstop Wcb-Rad Md/opi, Tampa, FL 33612-9416 · (813) 745-1573

Specialties and licenses

TaxonomyCodeLicense
Nuclear Medicine Physician 207U00000XME119590 (FL)
Nuclear Radiology Physician 2085N0904XME119590 (FL)
Diagnostic Radiology Physician Primary 2085R0202XME119590 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1669640348

Kenneth Leslie Gage, MD, PhD's National Provider Identifier is 1669640348, issued on Feb 14, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 2, 2025.