Provider Demographics
NPI:1831445824
Name:WINNARD, KENNETH P (MD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:P
Last Name:WINNARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4530 DONALD ROSS ROAD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418
Mailing Address - Country:US
Mailing Address - Phone:561-327-9393
Mailing Address - Fax:651-728-0004
Practice Address - Street 1:4530 DONALD ROSS ROAD
Practice Address - Street 2:SUITE 105
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418
Practice Address - Country:US
Practice Address - Phone:561-327-9393
Practice Address - Fax:651-728-0004
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA74660207R00000X
FLME127819207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine