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

Kenneth Wayne Ponder, MD

Individual provider Internal Medicine Physician · NPI 1124093737

Kenneth Wayne Ponder, MD 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?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4566 E Highway 20 Ste 103
Niceville, FL 32578-8838
Phone: (850) 897-1223
Fax: (850) 897-1237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0063310 (FL)

Record details

NPI number1124093737
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 18, 2006
Last updated in NPPESJuly 8, 2007
Mailing address4566 E Highway 20, Ste 103, Niceville, FL 32578-8838

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