Kenefick, Timothy H
Kenefick, Timothy H is an sole proprietor health care provider with primary practice located at 126 Morgan St , Stamford CT 06905-5431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kenefick, Timothy H can be contacted via phone (203) 327-1055.Contact Information
Primary practice address
126 Morgan St
Stamford CT 06905-5431
Phone: (203) 327-1055
Fax: (203) 323-6177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 028872 | Connecticut |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 163113 | New York |
Profile Details
| NPI number | 1063413854 |
|---|---|
| LBN Legal business name | Kenefick, Timothy H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Apr 11th, 2014 - about 10 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 | 1063413854 | NPPES |
| Connecticut | MEDICAID | 001288720 |
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