Kennedy, James W

Kennedy, James W is an individual health care provider with primary practice located at 6550 Fannin St 2237, Houston TX 77030-2717. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kennedy, James W can be contacted via phone (713) 790-4600.

Contact Information

Primary practice address
6550 Fannin St 2237 Houston TX 77030-2717
Phone: (713) 790-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8289 Texas

Profile Details

NPI number 1356380596
LBN Legal business name Kennedy, James W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 23rd, 2009 - about 15 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 1356380596 NPPES
Texas Other 86D594 BCBS
Texas MEDICAID 007203502 BCBS
Texas Other 89D688 BCBS

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