Kennealey, Peter T

Kennealey, Peter T is an individual health care provider with primary practice located at 12605 E 16Th Ave , Aurora CO 80045-2545. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Kennealey, Peter T can be contacted via phone (720) 848-0000.

Contact Information

Primary practice address
12605 E 16Th Ave Aurora CO 80045-2545
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 48084 Colorado
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X DR.0048084 Colorado

Profile Details

NPI number 1073718680
LBN Legal business name Kennealey, Peter T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jan 20th, 2017 - about 7 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 1073718680 NPPES
Colorado MEDICAID 83502882

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