Morrissey, Kenneth J
Morrissey, Kenneth J is an sole proprietor health care provider with primary practice located at 1150 Reservoir Avenue Suite 200, Cranston RI 02920-6064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Morrissey, Kenneth J can be contacted via phone (401) 944-8700.Contact Information
Primary practice address
1150 Reservoir Avenue Suite 200
Cranston RI 02920-6064
Phone: (401) 944-8700
Fax: (401) 944-8767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD06506 | Rhode Island |
Profile Details
| NPI number | 1790859064 |
|---|---|
| LBN Legal business name | Morrissey, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jun 22nd, 2017 - about 8 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 | 1790859064 | NPPES |
| Rhode Island | MEDICAID | 9002080 | |
| Rhode Island | Other | 200054 | |
| Rhode Island | Other | 2080 |
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