Kenneally, Bonny
Kenneally, Bonny is an sole proprietor health care provider with primary practice located at 6847 W Carter Rd , Rome NY 13440-1331. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Kenneally, Bonny can be contacted via phone (315) 533-0848.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 113890-1 | New York |
Profile Details
| NPI number | 1841522927 |
|---|---|
| LBN Legal business name | Kenneally, Bonny |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2010 |
| Last updated | Jul 26th, 2013 - about 11 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 | 1841522927 | NPPES |
| New York | MEDICAID | 01705682 |
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