Kennedy, Jeremy Scott

Kennedy, Jeremy Scott is an sole proprietor health care provider with primary practice located at 14506 W Granite Valley Dr #124, Sun City West AZ 85375-6010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kennedy, Jeremy Scott can be contacted via phone (623) 584-2127.

Contact Information

Primary practice address
14506 W Granite Valley Dr #124 Sun City West AZ 85375-6010
Phone: (623) 584-2127
Fax: (623) 854-1257
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5839 Arizona

Profile Details

NPI number 1528022779
LBN Legal business name Kennedy, Jeremy Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Jan 26th, 2016 - about 8 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 1528022779 NPPES
Other 4Z8735 HEALTH NET
Other 3437670 HEALTH NET
Other 9558781 HEALTH NET
Other 1528022779 HEALTH NET
Other 707257 HEALTH NET
MEDICAID 707257 HEALTH NET
Other P01043135 HEALTH NET

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