Mori, John Kenneth
Mori, John Kenneth is an individual health care provider with primary practice located at 4895 Riverbend Rd Suite A, Boulder CO 80301-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Mori, John Kenneth can be contacted via phone (720) 279-9098.Contact Information
Primary practice address
4895 Riverbend Rd Suite A
Boulder CO 80301-2640
Phone: (720) 279-9098
Fax: (720) 540-4250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 47668 | Kentucky |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | DR.0057674 | Colorado |
Profile Details
| NPI number | 1497767172 |
|---|---|
| LBN Legal business name | Mori, John Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Nov 14th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497767172 | NPPES |
| Kentucky | Other | K167432 | MEDICARE |
| Kentucky | MEDICAID | 7100048410 | MEDICARE |
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