Kenyon, Nicholas J

Kenyon, Nicholas J is an individual health care provider with primary practice located at 4150 V St Suite 3400, Sacramento CA 95817-1460. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Kenyon, Nicholas J can be contacted via phone (916) 734-3564.

Contact Information

Primary practice address
4150 V St Suite 3400 Sacramento CA 95817-1460
Phone: (916) 734-3564
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A064546 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A064546 California

Profile Details

NPI number 1689657512
LBN Legal business name Kenyon, Nicholas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Sep 9th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689657512 NPPES
California MEDICAID 00A645460

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