Orchard, Kenneth A
Orchard, Kenneth A is an individual health care provider with primary practice located at 1035 Valley Stream Dr , Pingree Grove IL 60140-9137. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Orchard, Kenneth A can be contacted via phone (615) 260-5205.Contact Information
Primary practice address
1035 Valley Stream Dr
Pingree Grove IL 60140-9137
Phone: (615) 260-5205
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 28715 | Tennessee |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28715 | Tennessee |
Profile Details
NPI number | 1891814653 |
---|---|
LBN Legal business name | Orchard, Kenneth A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2007 |
Last updated | Oct 26th, 2018 - about 6 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 | 1891814653 | NPPES |
Tennessee | Other | 103I082013 | MEDICARE MCRPTAN |
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