Kennedy, Ruth

Kennedy, Ruth is an sole proprietor health care provider with primary practice located at 4374 , Mccall ID 83638-8374. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Kennedy, Ruth can be contacted via phone (208) 315-2092.

Contact Information

Primary practice address
4374 Mccall ID 83638-8374
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1669064739
LBN Legal business name Kennedy, Ruth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2021
Last updated Feb 9th, 2021 - about 4 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 1669064739 NPPES
Idaho MEDICAID 1487251518

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