Corcoran, Kenneth Joseph

Corcoran, Kenneth Joseph is an individual health care provider with primary practice located at 2826 Randolph Rd , Charlotte NC 28211-1386. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Corcoran, Kenneth Joseph can be contacted via phone (716) 830-4866.

Contact Information

Primary practice address
2826 Randolph Rd Charlotte NC 28211-1386
Phone: (716) 830-4866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 029027-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 40QA01368400 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 18323 North Carolina

Profile Details

NPI number 1508075334
LBN Legal business name Corcoran, Kenneth Joseph
Credentials PT, DPT, SCS
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Sep 20th, 2018 - about 7 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 1508075334 NPPES
New Jersey Other 40QA01368400 LICENSE NUMBER
New Jersey Other 029027-1 LICENSE NUMBER
New Jersey Other 18323 LICENSE NUMBER

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