Kenny Moynihan, Mary Bernadette
Kenny Moynihan, Mary Bernadette is an individual health care provider with primary practice located at 7444 W Alaska Dr Ste 250, Lakewood CO 80226-3327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Kenny Moynihan, Mary Bernadette can be contacted via phone (303) 592-7284.Contact Information
Primary practice address
7444 W Alaska Dr Ste 250
Lakewood CO 80226-3327
Phone: (303) 592-7284
Fax: (303) 892-0601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 34459 | Colorado |
Profile Details
| NPI number | 1760479042 |
|---|---|
| LBN Legal business name | Kenny Moynihan, Mary Bernadette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Nov 20th, 2007 - about 17 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 | 1760479042 | NPPES |
| Colorado | MEDICAID | 94287091 |
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