Kenyon, Kenneth Ralph
Kenyon, Kenneth Ralph 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 Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kenyon, Kenneth Ralph can be contacted via phone (508) 993-3023.Contact Information
Primary practice address
51 State Rd
North Dartmouth MA 02747-3319
Phone: (508) 993-3023
Fax: (508) 993-3162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 39409 | Massachusetts |
Profile Details
| NPI number | 1285620948 |
|---|---|
| LBN Legal business name | Kenyon, Kenneth Ralph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Nov 6th, 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 | 1285620948 | NPPES |
| Massachusetts | Other | M09185 | B/C B/S OF MASS |
| Massachusetts | MEDICAID | 2042886 | B/C B/S OF MASS |
| Massachusetts | MEDICAID | 7009538 | B/C B/S OF MASS |
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