Bloodworth, Kenneth
Bloodworth, Kenneth is an sole proprietor health care provider with primary practice located at 2001 Windy Ter Ste F, Cedar Park TX 78613-4289. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bloodworth, Kenneth can be contacted via phone (210) 393-1704.Contact Information
Primary practice address
2001 Windy Ter Ste F
Cedar Park TX 78613-4289
Phone: (210) 393-1704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11369 | Texas |
Profile Details
| NPI number | 1154662690 |
|---|---|
| LBN Legal business name | Bloodworth, Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2013 |
| Last updated | Mar 7th, 2013 - 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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