Coombs, Kenneth Eugene

Coombs, Kenneth Eugene is an individual health care provider with primary practice located at 154 Terry Rd , Smithtown NY 11787-5103. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Coombs, Kenneth Eugene can be contacted via phone (631) 724-8285.

Contact Information

Primary practice address
154 Terry Rd Smithtown NY 11787-5103
Phone: (631) 724-8285
Fax: (631) 724-1598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X NOO 37201-1 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 518-025 Wisconsin

Profile Details

NPI number 1992706287
LBN Legal business name Coombs, Kenneth Eugene
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Dec 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992706287 NPPES
New York MEDICAID 011725369

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