Kenney, Nicholas L
Kenney, Nicholas L is an sole proprietor health care provider with primary practice located at 110 S 59Th St , Springfield OR 97478-6975. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kenney, Nicholas L can be contacted via phone (541) 747-8030.Contact Information
Primary practice address
110 S 59Th St
Springfield OR 97478-6975
Phone: (541) 747-8030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D5585 | Oregon |
Profile Details
| NPI number | 1871699926 |
|---|---|
| LBN Legal business name | Kenney, Nicholas L |
| Credentials | DDS PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871699926 | NPPES |
| Oregon | MEDICAID | 05888-3 |
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