Fenton, Suzann

Fenton, Suzann is an sole proprietor health care provider with primary practice located at 4192 Wilderness Rd , Mt. Vernon KY 40456. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fenton, Suzann can be contacted via phone (606) 256-3923.

Contact Information

Primary practice address
4192 Wilderness Rd Mt. Vernon KY 40456
Fax: (606) 256-5622
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Kentucky

Profile Details

NPI number 1952516197
LBN Legal business name Fenton, Suzann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2007
Last updated Jul 9th, 2007 - about 17 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 1952516197 NPPES
Kentucky MEDICAID 33001033

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