Kenner, Kristin H
Kenner, Kristin H is an sole proprietor health care provider with primary practice located at 501 5Th Ave Se , Devils Lake ND 58301-3621. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kenner, Kristin H can be contacted via phone (701) 662-4141.Contact Information
Primary practice address
501 5Th Ave Se
Devils Lake ND 58301-3621
Phone: (701) 662-4141
Fax: (701) 662-7582
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 1736 | North Dakota |
Profile Details
NPI number | 1609089085 |
---|---|
LBN Legal business name | Kenner, Kristin H |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609089085 | NPPES |
North Dakota | Other | 1736 | STATE LICENSE NUMBER |
North Dakota | Other | 842354 | STATE LICENSE NUMBER |
North Dakota | Other | 901736 | STATE LICENSE NUMBER |
North Dakota | MEDICAID | 40953 | STATE LICENSE NUMBER |
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