Kenworthy, Paul Francis
Kenworthy, Paul Francis is an individual health care provider with primary practice located at 1 Kennedy Dr # Ll4 , South Burlington VT 05403-7152. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kenworthy, Paul Francis can be contacted via phone (888) 720-5832.Contact Information
Primary practice address
1 Kennedy Dr # Ll4
South Burlington VT 05403-7152
Phone: (888) 720-5832
Fax: (888) 965-5114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 016-0000975 | Vermont |
Profile Details
| NPI number | 1336106525 |
|---|---|
| LBN Legal business name | Kenworthy, Paul Francis |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2006 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1336106525 | NPPES |
| Vermont | MEDICAID | 0002551 | |
| Vermont | Other | Y400189729 |
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