Kennedy, Ruth C.
Kennedy, Ruth C. is an sole proprietor health care provider with primary practice located at 1617 Devon Dr , Colleyville TX 76034-4142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kennedy, Ruth C. can be contacted via phone (817) 283-4862.Contact Information
Primary practice address
1617 Devon Dr
Colleyville TX 76034-4142
Phone: (817) 283-4862
Fax: (817) 571-6519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D1398 | Texas |
Profile Details
| NPI number | 1811195282 |
|---|---|
| LBN Legal business name | Kennedy, Ruth C. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2007 |
| Last updated | May 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811195282 | NPPES |
| Texas | MEDICAID | P000C8805 |
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