Mcguire, Kennetha Michelle

Mcguire, Kennetha Michelle is an individual health care provider with primary practice located at 500 Bourne Ave , Somerset KY 42501-1916. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mcguire, Kennetha Michelle can be contacted via phone (606) 678-4761.

Contact Information

Primary practice address
500 Bourne Ave Somerset KY 42501-1916
Phone: (606) 678-4761
Fax: (606) 676-9671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X KY1627 Kentucky

Profile Details

NPI number 1174501209
LBN Legal business name Mcguire, Kennetha Michelle
Credentials MS RD LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1174501209 NPPES
Kentucky MEDICAID 20901211

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