Eaton, Kennworth
Eaton, Kennworth is an sole proprietor health care provider with primary practice located at 240 W Montauk Hwy , Hampton Bays NY 11946-3510. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Eaton, Kennworth can be contacted via phone (631) 728-4500.Contact Information
Primary practice address
240 W Montauk Hwy
Hampton Bays NY 11946-3510
Phone: (631) 728-4500
Fax: (631) 728-4564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 006619 | New York |
Profile Details
| NPI number | 1891984548 |
|---|---|
| LBN Legal business name | Eaton, Kennworth |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2007 |
| Last updated | Jun 7th, 2021 - about 3 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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