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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891814653 NPPES
Tennessee Other 103I082013 MEDICARE MCRPTAN

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