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KENNETH J LUCAS MD
NPI 1023110665
Family Medicine in Daytona Beach, FL

Active since September 03, 2006
405 N CLYDE MORRIS BLVD, 405 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 257-1626(386) 254-7507 Get Directions Write a Review

NPPES record last updated: December 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth J Lucas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH J LUCAS MD (NPI 1023110665) is an individual family medicine provider in Daytona Beach, Florida, licensed in Florida (ME22441) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1023110665
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH J LUCASCredential: MD
Location Address405 N CLYDE MORRIS BLVD, 405 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2730
Mailing Address405 N Clyde Morris BlvdDaytona Beach, FL 32114-2730 · (386) 257-1626 · Fax (386) 254-7507
Phone(386) 257-1626
Fax(386) 254-7507
Sole ProprietorYes
Enumeration DateSeptember 3, 2006
Last NPPES UpdateDecember 13, 2007
✔ NPI 1023110665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME22441
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
405 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114
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Other Identifiers 2

Medicare UPIND57642FL
Medicare PIN64328UFL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EJAZ AHMED MD
Family Medicine
405 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 506-8555
LISA TRACY ANN BRYAN UKAWUILULU APRN
Nurse Practitioner
405 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 506-8555
SENIOR HEALTH CARE OF VOLUSIA
Family Medicine (Adult Medicine)
405 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 257-1626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Lucas's NPI number?

The NPI number for Kenneth Lucas is 1023110665. It was assigned to this individual provider in the NPPES registry on September 3, 2006.

Where is Kenneth Lucas located?

Kenneth Lucas practices at 405 N Clyde Morris Blvd 405 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 257-1626.

What is Kenneth Lucas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Lucas was last updated on December 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.