Eden, Kenneth Vernon
Eden, Kenneth Vernon is an individual health care provider with primary practice located at 2525 Broadway Suite 200, Helena MT 59601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Eden, Kenneth Vernon can be contacted via phone (406) 457-4343.Contact Information
Primary practice address
2525 Broadway Suite 200
Helena MT 59601
Phone: (406) 457-4343
Fax: (406) 457-4344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 3711 | Montana |
Profile Details
| NPI number | 1598863904 |
|---|---|
| LBN Legal business name | Eden, Kenneth Vernon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598863904 | NPPES |
| Montana | MEDICAID | 0142477 | |
| Montana | Other | 16771 |
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