Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth W Ponder MD PA

Organization Internal Medicine Physician · NPI 1962593574

Kenneth W Ponder MD PA is an Internal Medicine Physician in Niceville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4566 E Highway 20 Ste 103
Niceville, FL 32578-8839
Phone: (850) 897-1223
Fax: (850) 897-1237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME0063310 (FL)

Record details

NPI number1962593574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Ponder — President · (850) 517-7877
Other names Bluewater Medicine; Bluewater Medicine
NPI enumeratedSeptember 27, 2006
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021
Mailing address4704 Knollwood Rd, Niceville, FL 32578-8760

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