Kennedy, Wade Alexander
Kennedy, Wade Alexander is an individual health care provider with primary practice located at 5745 Erindale Dr Suite 200, Colorado Springs CO 80918-8926. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Kennedy, Wade Alexander can be contacted via phone (719) 599-7665.Contact Information
Primary practice address
5745 Erindale Dr Suite 200
Colorado Springs CO 80918-8926
Phone: (719) 599-7665
Fax: (719) 599-8599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 6054 | Colorado |
Profile Details
| NPI number | 1134241185 |
|---|---|
| LBN Legal business name | Kennedy, Wade Alexander |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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