Kenyon, Jeffrey Steven
Kenyon, Jeffrey Steven is an individual health care provider with primary practice located at 51 State Rd , North Dartmouth MA 02747-3319. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kenyon, Jeffrey Steven can be contacted via phone (508) 994-1400.Contact Information
Primary practice address
51 State Rd
North Dartmouth MA 02747-3319
Phone: (508) 994-1400
Fax: (508) 910-2212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4577 | Massachusetts |
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODTG00533 | Rhode Island |
Profile Details
| NPI number | 1407954142 |
|---|---|
| LBN Legal business name | Kenyon, Jeffrey Steven |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 15th, 2013 - about 11 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 | 1407954142 | NPPES |
| Massachusetts | MEDICAID | 0709565 | |
| Massachusetts | Other | W16490 |
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