Kennedy, Mitch L
Kennedy, Mitch L is an sole proprietor health care provider with primary practice located at 46 W Avon Rd Suite 202, Avon CT 06001-3679. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Kennedy, Mitch L can be contacted via phone (860) 673-9954.Contact Information
Primary practice address
46 W Avon Rd Suite 202
Avon CT 06001-3679
Phone: (860) 673-9954
Fax: (860) 673-4063
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Naturopath | 175F00000X | 000245 | Connecticut |
Profile Details
NPI number | 1386779346 |
---|---|
LBN Legal business name | Kennedy, Mitch L |
Credentials | N.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 22nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386779346 | NPPES |
Connecticut | Other | 000245 | STATE OF CT LICENSE NO. |
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