Kennedy, Paul Alexander

Kennedy, Paul Alexander is an individual health care provider with primary practice located at 6200 Saratoga Blvd , Corpus Christi TX 78414-3421. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Kennedy, Paul Alexander can be contacted via phone (361) 992-9500.

Contact Information

Primary practice address
6200 Saratoga Blvd Corpus Christi TX 78414-3421
Phone: (361) 992-9500
Fax: (361) 992-1862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 20778 Texas

Profile Details

NPI number 1376568469
LBN Legal business name Kennedy, Paul Alexander
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 15th, 2021 - about 3 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 1376568469 NPPES
Texas MEDICAID 159672801

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