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
Fax: (207) 795-2808
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629058185 NPPES
Maine MEDICAID 101770000

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