Jennings, Kevin D

Jennings, Kevin D is an individual health care provider with primary practice located at 211 Providence Rd Suite 11, Chesapeake VA 23325-4687. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jennings, Kevin D can be contacted via phone (757) 523-9002.

Contact Information

Primary practice address
211 Providence Rd Suite 11 Chesapeake VA 23325-4687
Phone: (757) 523-9002
Fax: (757) 523-9005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6444 Virginia

Profile Details

NPI number 1669462941
LBN Legal business name Jennings, Kevin D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Feb 4th, 2008 - 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 1669462941 NPPES
Virginia Other 831824 UNITED CONCORDIA
Virginia MEDICAID 0006147 UNITED CONCORDIA
Virginia Other 6444 UNITED CONCORDIA
Virginia Other 028603 UNITED CONCORDIA
Virginia Other 0005596256 UNITED CONCORDIA

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