Kennedy, Criswell Allen

Kennedy, Criswell Allen is an sole proprietor health care provider with primary practice located at 24128 E Alki Ln , Liberty Lake WA 99019-9447. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Kennedy, Criswell Allen can be contacted via phone (509) 255-5065.

Contact Information

Primary practice address
24128 E Alki Ln Liberty Lake WA 99019-9447
Phone: (509) 255-5065
Fax: (509) 477-6352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD00017804 Washington

Profile Details

NPI number 1912122847
LBN Legal business name Kennedy, Criswell Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 17 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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