Edgar, Kenneth

Edgar, Kenneth is an individual health care provider with primary practice located at 5655 Hudson Dr Ste 210 Aris Radiology, Hudson OH 44236-4455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Edgar, Kenneth can be contacted via phone (330) 655-1869.

Contact Information

Primary practice address
5655 Hudson Dr Ste 210 Aris Radiology Hudson OH 44236-4455
Phone: (330) 655-1869
Fax: (330) 655-3828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD065024L Pennsylvania

Profile Details

NPI number 1649278904
LBN Legal business name Edgar, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Dec 19th, 2016 - about 8 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 1649278904 NPPES
Pennsylvania Other 300084169 RAILROAD MEDICARE
Pennsylvania MEDICAID 0016916930001 RAILROAD MEDICARE
Pennsylvania MEDICAID 2612622 RAILROAD MEDICARE
Pennsylvania Other 000268720 RAILROAD MEDICARE

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