DR. KENNETH M SIMON D.O.
NPI 1073502993
Internal Medicine - Medical Oncology in New Smyrna Beach, FL

Q: What is Kenneth Simon's NPI number?

The NPI number for Kenneth Simon is 1073502993. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Q: What is Kenneth Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Simon was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 14, 2005

4255 BOY SCOUT CAMP, NEW SMYRNA BEACH, FL 32168(386) 478-1977 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kenneth M Simon D.o. NPPES

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

DR. KENNETH M SIMON D.O. (NPI 1073502993) is an individual medical oncology provider in New Smyrna Beach, Florida, licensed in Florida (OS7658) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1073502993

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NameDR. KENNETH M SIMONCredential: D.O.

Location Address4255 BOY SCOUT CAMPNew Smyrna Beach, FL 32168-8896

Mailing Address4255 Boy Scout RoadNew Smyrna Beach, FL 32168 · (386) 478-1977

Phone(386) 478-1977

Sole ProprietorYes

Enumeration DateOctober 14, 2005

Last NPPES UpdateAugust 25, 2010

✔ NPI 1073502993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in FL · OS7658

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

4255 BOY SCOUT CAMP, New Smyrna Beach, FL 32168

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Other Identifiers 3

Medicaid254951400FL

Medicare PINE2574YFL

Medicare UPINF82041FL

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 Simon's NPI number?

The NPI number for Kenneth Simon is 1073502993. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Kenneth Simon located?

Kenneth Simon practices at 4255 Boy Scout Camp, New Smyrna Beach, FL 32168. The listed phone number is (386) 478-1977.

What is Kenneth Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

When was this NPI record last updated?

The NPPES record for Kenneth Simon was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.