Liddiard, Kenneth John
Liddiard, Kenneth John is an individual health care provider with primary practice located at 2025 W Us Highway 50 Ste A100 , Pueblo CO 81008-1571. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Liddiard, Kenneth John can be contacted via phone (719) 542-2472.Contact Information
Primary practice address
2025 W Us Highway 50 Ste A100
Pueblo CO 81008-1571
Phone: (719) 542-2472
Fax: (719) 542-6435
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 00203000 | Colorado |
Profile Details
NPI number | 1295792307 |
---|---|
LBN Legal business name | Liddiard, Kenneth John |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2006 |
Last updated | Oct 23rd, 2020 - about 4 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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