Kenneth C Terry II, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

OS23925 Issued in FL

Practice address

3637 Dr Martin Luther King Blvd Ste 111
Fort Myers, FL 33916-4601

Phone

(239) 343-4910

NPI assigned

Apr 10, 2023

Last updated

Sep 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: kenneth.terryii@uhci.eclinicaldirectplus.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1548955099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WASHINGTON AVE STE 100",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 DR MARTIN LUTHER KING BLVD STE 111",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164601",
            "telephone_number": "239-343-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY II",
        "first_name": "KENNETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS23925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Tennant
• Justin James Tennyson, M.D.
• Kathleen N Tenrreiro, ARNP
• Renee Marie Terrasi, PHD
• Johnnie Terrell, MSW
• Tesla MRI LLC
• Megan L. Tetlow, PA-C
• Julie Marsha Teuber, MD
• Micah Tew, DPT
• Clifford Tewis

• Adult Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.