Barry, Kenneth

Barry, Kenneth is an individual health care provider with primary practice located at 1252 Airport Park Blvd Suite D1, Ukiah CA 95482-5979. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Barry, Kenneth can be contacted via phone (707) 462-8719.

Contact Information

Primary practice address
1252 Airport Park Blvd Suite D1 Ukiah CA 95482-5979
Phone: (707) 462-8719
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 25477 California

Profile Details

NPI number 1053713347
LBN Legal business name Barry, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated Sep 18th, 2014 - about 11 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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