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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 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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