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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KENNETH C TERRY II DO
NPI 1548955099
Family Medicine - Adult Medicine in Fort Myers, FL

Active since April 10, 2023
3637 DR MARTIN LUTHER KING BLVD STE 111, FORT MYERS, FL 33916(239) 343-4910 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 1, 2026, Apr 10, 2023 (2 updates tracked since 2023).

About Dr. Kenneth C Terry Ii Do NPPES

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

DR. KENNETH C TERRY II DO (NPI 1548955099) is an individual adult medicine provider in Fort Myers, Florida, licensed in Florida (OS23925) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1548955099
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. KENNETH C TERRY IICredential: DO
Location Address3637 DR MARTIN LUTHER KING BLVD STE 111Fort Myers, FL 33916-4601
Mailing Address501 S Washington Ave Ste 100Scranton, PA 18505-3814
Phone(239) 343-4910
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1548955099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in FL · OS23925
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
3637 DR MARTIN LUTHER KING BLVD STE 111, Fort Myers, FL 33916
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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 Terry Ii's NPI number?

The NPI number for Kenneth Terry Ii is 1548955099. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Kenneth Terry Ii located?

Kenneth Terry Ii practices at 3637 Dr Martin Luther King Blvd Ste 111, Fort Myers, FL 33916. The listed phone number is (239) 343-4910.

What is Kenneth Terry Ii's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Kenneth Terry Ii was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.