Ault, Kenneth A

Ault, Kenneth A is an individual health care provider with primary practice located at 81 Research Dr , Scarborough ME 04074-7204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Ault, Kenneth A can be contacted via phone (207) 885-8130.

Contact Information

Primary practice address
81 Research Dr Scarborough ME 04074-7204
Phone: (207) 885-8130
Fax: (207) 885-8110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 012169 Maine
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 012169 Maine

Profile Details

NPI number 1477598688
LBN Legal business name Ault, Kenneth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jan 29th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477598688 NPPES
New Hampshire MEDICAID 30201824

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