Carroll, Kenneth
Carroll, Kenneth is an individual health care provider with primary practice located at 15708 E 45Th Pl S , Independence MO 64055-5212. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Carroll, Kenneth can be contacted via phone (816) 726-5492.Contact Information
Primary practice address
15708 E 45Th Pl S
Independence MO 64055-5212
Phone: (816) 726-5492
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2012009273 | Missouri |
Profile Details
| NPI number | 1699033464 |
|---|---|
| LBN Legal business name | Carroll, Kenneth |
| Credentials | RN, NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2012 |
| Last updated | Apr 30th, 2012 - about 13 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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