1. Home
  2. Directory
  3. Florida
  4. Niceville
  5. Internal Medicine
  6. NPI Profile

KENNETH WAYNE PONDER M.D.
NPI 1124093737
Internal Medicine in Niceville, FL

Active since February 18, 2006
4566 E HIGHWAY 20, STE 103, NICEVILLE, FL 32578(850) 897-1223(850) 897-1237 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Wayne Ponder M.d. NPPES

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

KENNETH WAYNE PONDER M.D. (NPI 1124093737) is an individual internal medicine provider in Niceville, Florida, licensed in Florida (0063310) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1124093737
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH WAYNE PONDERCredential: M.D.
Location Address4566 E HIGHWAY 20, STE 103Niceville, FL 32578-8838
Mailing Address4566 E Highway 20, Ste 103Niceville, FL 32578-8838 · (850) 897-1223 · Fax (850) 897-1237
Phone(850) 897-1223
Fax(850) 897-1237
Sole ProprietorNo
Enumeration DateFebruary 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124093737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · 0063310
Definition
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 medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4566 E HIGHWAY 20, Niceville, FL 32578
Open in Google Maps ↗

Other Identifiers 3

OtherME0063310FL · Medical License Number
Other001029111646Ama
Medicare UPINF91225

Other Providers at the Same Location NPPES 12

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

THERAPEUTIC CONNECTIONS L.L.C.
Occupational Therapist (Pediatrics)
4566 E HIGHWAY 20, SUITE 205
NICEVILLE, FL 32578
Okaloosa County (504) 274-9544
EMERALD COAST HEALTH INSTITUTE, INC.
Clinic/Center
4566 E HIGHWAY 20
NICEVILLE, FL 32578
Okaloosa County (850) 279-6949
MS. CATHERINE MARY O'CONNELL ARNP
Nurse Practitioner (Pediatrics)
4566 E HIGHWAY 20, SUITE 101
NICEVILLE, FL 32578
Okaloosa County (850) 897-7546
IN YOUR DREAMS INTERNATIONAL INC
Clinic/Center (Sleep Disorder Diagnostic)
4566 E HIGHWAY 20, SUITE 108
NICEVILLE, FL 32578
Okaloosa County (850) 729-3930
JAMES DARRYL SMITH P.A.
Physician Assistant
4566 E HIGHWAY 20
NICEVILLE, FL 32578
Okaloosa County (850) 897-7546
JANEAL T MUSSER ARNP-C
Nurse Practitioner (Primary Care)
4566 E HIGHWAY 20, SUITE 102
NICEVILLE, FL 32578
Okaloosa County (850) 279-2347
MR. THOMAS L MCKNIGHT MD
Family Medicine
4566 E HIGHWAY 20, SUITE 105
NICEVILLE, FL 32578
Okaloosa County (850) 279-6949
SCOTT BEALS DO PA
Dermatology (Procedural Dermatology)
4566 E HIGHWAY 20, SUITE 101
NICEVILLE, FL 32578
Okaloosa County (850) 897-7546

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 Ponder's NPI number?

The NPI number for Kenneth Ponder is 1124093737. It was assigned to this individual provider in the NPPES registry on February 18, 2006.

Where is Kenneth Ponder located?

Kenneth Ponder practices at 4566 E Highway 20 Ste 103, Niceville, FL 32578. The listed phone number is (850) 897-1223.

What is Kenneth Ponder's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Ponder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.