Kennedy, Richard L

Kennedy, Richard L is an individual health care provider with primary practice located at 1250 S Sunset Ave # 100-B , West Covina CA 91790-3961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Kennedy, Richard L can be contacted via phone (626) 472-0132.

Contact Information

Primary practice address
1250 S Sunset Ave # 100-B West Covina CA 91790-3961
Phone: (626) 472-0132
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X G62033 California

Profile Details

NPI number 1487668513
LBN Legal business name Kennedy, Richard L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1487668513 NPPES
California MEDICAID 00G620330

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