Kennett, Ronald W

Kennett, Ronald W is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Suite 101, Goodyear AZ 85395-2624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kennett, Ronald W can be contacted via phone (623) 935-4700.

Contact Information

Primary practice address
13555 W Mcdowell Rd Suite 101 Goodyear AZ 85395-2624
Phone: (623) 935-4700
Fax: (623) 935-4707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X AZ2166 Arizona

Profile Details

NPI number 1154318996
LBN Legal business name Kennett, Ronald W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Apr 18th, 2019 - about 6 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 1154318996 NPPES
Arizona MEDICAID 26106600

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