Kean, Richard A
Kean, Richard A is an individual health care provider with primary practice located at 7200 Halcyon Summit Drive , Montgomery AL 36117-7047. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kean, Richard A can be contacted via phone (334) 277-3492.Contact Information
Primary practice address
7200 Halcyon Summit Drive
Montgomery AL 36117-7047
Phone: (334) 277-3492
Fax: (334) 277-9432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4520 | Alabama |
Profile Details
| NPI number | 1154412336 |
|---|---|
| LBN Legal business name | Kean, Richard A |
| Credentials | D.D.S., M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1154412336 | NPPES |
| Alabama | Other | 51591092 | BCBS OF ALABAMA |
| Alabama | MEDICAID | 009983340 | BCBS OF ALABAMA |
| Alabama | Other | 51005744 | BCBS OF ALABAMA |
| Alabama | Other | 51092494 | BCBS OF ALABAMA |
| Alabama | MEDICAID | 000092494 | BCBS OF ALABAMA |
| Alabama | MEDICAID | 009910631 | BCBS OF ALABAMA |
| Alabama | MEDICAID | 009983330 | BCBS OF ALABAMA |
| Alabama | Other | 852063 | BCBS OF ALABAMA |
| Alabama | Other | 51517275 | BCBS OF ALABAMA |
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