Ganly, Ken E
Ganly, Ken E is an individual health care provider with primary practice located at 402 Bayard Rd Suite 200, Kennett Square PA 19348-1862. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ganly, Ken E can be contacted via phone (484) 770-8132.Contact Information
Primary practice address
402 Bayard Rd Suite 200
Kennett Square PA 19348-1862
Phone: (484) 770-8132
Fax: (484) 770-8136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG-000362 | Pennsylvania |
Profile Details
| NPI number | 1609871763 |
|---|---|
| LBN Legal business name | Ganly, Ken E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Apr 12th, 2024 - about 8 months 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 | 1609871763 | NPPES |
| Pennsylvania | Other | 460176 | INDIVIDUAL AETNA ID |
| Pennsylvania | Other | PA7531 | INDIVIDUAL AETNA ID |
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