Kennedy, Brad Lee
Kennedy, Brad Lee is an sole proprietor health care provider with primary practice located at 2402 Broadway St , Vancouver WA 98663-3229. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Kennedy, Brad Lee can be contacted via phone (360) 241-6630.Contact Information
Primary practice address
2402 Broadway St
Vancouver WA 98663-3229
Phone: (360) 241-6630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | MA60188011 | Washington |
Profile Details
| NPI number | 1356628630 |
|---|---|
| LBN Legal business name | Kennedy, Brad Lee |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2011 |
| Last updated | Nov 15th, 2011 - about 13 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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