Kennedy, Taylor
Kennedy, Taylor is an individual health care provider with primary practice located at 2828 International Cir Suite 100, Colorado Springs CO 80910-3127. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Kennedy, Taylor can be contacted via phone (719) 632-5700.Contact Information
Primary practice address
2828 International Cir Suite 100
Colorado Springs CO 80910-3127
Phone: (719) 632-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | DEN.00201915 | Colorado |
Profile Details
| NPI number | 1790137131 |
|---|---|
| LBN Legal business name | Kennedy, Taylor |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2016 |
| Last updated | Apr 4th, 2017 - about 7 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 | 1790137131 | NPPES |
| Colorado | MEDICAID | 02675030 |
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