Organization · Type 2 NPI

Kenneth W Ponder MD PA

Internal Medicine Physician · Niceville, FL

NPI number 1962593574 Active

Practice location

4566 E Highway 20 Ste 103
Niceville, FL 32578-8839

Fax (850) 897-1237

Mailing address

4704 Knollwood Rd
Niceville, FL 32578-8760

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XME0063310 (FL)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1962593574

Kenneth W Ponder MD PA's National Provider Identifier is 1962593574, issued on Sep 27, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Niceville, FL. The record was last updated on Dec 29, 2021.