Kenner, Michael D.

Kenner, Michael D. is an individual health care provider with primary practice located at 1444 S Potomac St , Aurora CO 80012-4508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kenner, Michael D. can be contacted via phone (303) 750-0822.

Contact Information

Primary practice address
1444 S Potomac St Aurora CO 80012-4508
Phone: (303) 750-0822
Fax: (303) 750-1298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X M7936 Idaho
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 52174 Colorado

Profile Details

NPI number 1417912460
LBN Legal business name Kenner, Michael D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Mar 19th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417912460 NPPES
Idaho MEDICAID 805657700
Idaho MEDICAID 54426065

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