Matteoni, Kenneth J

Matteoni, Kenneth J is an individual health care provider with primary practice located at 801 E Williams Ave , Fallon NV 89406-3052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Matteoni, Kenneth J can be contacted via phone (775) 867-7740.

Contact Information

Primary practice address
801 E Williams Ave Fallon NV 89406-3052
Fax: (775) 423-8871
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 9079 Nevada

Profile Details

NPI number 1841279650
LBN Legal business name Matteoni, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jan 6th, 2021 - about 5 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 1841279650 NPPES
Nevada MEDICAID 002016746

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