Kenney, Bruce
Kenney, Bruce is an individual health care provider with primary practice located at 76 High St , Lewiston ME 04240-7649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kenney, Bruce can be contacted via phone (207) 795-2800.Contact Information
Primary practice address
76 High St
Lewiston ME 04240-7649
Phone: (207) 795-2800
Fax: (207) 795-2808
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1018 | Maine |
Profile Details
NPI number | 1629058185 |
---|---|
LBN Legal business name | Kenney, Bruce |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2006 |
Last updated | Feb 20th, 2013 - about 12 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 | 1629058185 | NPPES |
Maine | MEDICAID | 101770000 |
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