Kennedy, Christopher Thomas

Kennedy, Christopher Thomas is an individual health care provider with primary practice located at 2420 W 16Th St , Greeley CO 80634-6004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kennedy, Christopher Thomas can be contacted via phone (970) 353-7668.

Contact Information

Primary practice address
2420 W 16Th St Greeley CO 80634-6004
Phone: (970) 353-7668
Fax: (970) 353-2801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29617 Colorado

Profile Details

NPI number 1629043542
LBN Legal business name Kennedy, Christopher Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 26th, 2020 - about 4 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 1629043542 NPPES
Colorado MEDICAID 01296177

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