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Dr. Kerry Diane Thek, MD
Pediatric Gastroenterology Physician in Port Orange, Florida
NPI 1457349417

Kerry Diane Thek is a Pediatric Gastroenterology Physician based in Port Orange, FL and is specialized in Pediatric Gastroenterology. Kerry Diane Thek practices in Port Orange, FL and has the professional credentials of MD. The NPI Number for Kerry Diane Thek is 1457349417 and holds a License No. E-11212 (Florida).

The current practice location address for Kerry Diane Thek is 1690 Dunlawton Ave Ste 120, Port Orange, FL and can be reached out via phone at 386-677-0531 and via fax at 386-673-4658.

Location: 1690 Dunlawton Ave Ste 120, Port Orange, FL, 32127-8980
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457349417
Provider Name
Kerry Diane Thek
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1690 Dunlawton Ave Ste 120, Port Orange, FL, 32127-8980
Phone Number
386-677-0531
Fax Number
386-673-4658
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
064841800 05 FL
institution
Provider Business Practice Location Address Details
Address
1690 Dunlawton Ave Ste 120
City
Port Orange
State
Florida
Zip
32127-8980
Phone Number
386-677-0531
Fax Number
386-673-4658
person
Provider Business Mailing Address Details
Address
1690 Dunlawton Ave Ste 120
City
Port Orange
State
Florida
Zip
32127-8980
Phone Number
386-677-0531
Fax Number
386-673-4658
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Gastroenterology
Taxonomy
2080P0206X
License No.
E-11212 (Arkansas)
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
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