Conklin, Ken Samuel

Conklin, Ken Samuel is an sole proprietor health care provider with primary practice located at Psc Box 20073 Camp Lejeune, Nc, Apo AA 28542-0073. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Conklin, Ken Samuel can be contacted via phone (808) 721-6299.

Contact Information

Primary practice address
Psc Box 20073 Camp Lejeune, Nc Apo AA 28542-0073
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1871870022
LBN Legal business name Conklin, Ken Samuel
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2011
Last updated Nov 15th, 2011 - 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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