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:
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Health care specialties

SpecialtyCodeLicense #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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