Pryor, Kenneth

Pryor, Kenneth is an sole proprietor health care provider with primary practice located at 831 Market Ave N , Canton OH 44702-1175. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Pryor, Kenneth can be contacted via phone (240) 222-2584.

Contact Information

Primary practice address
831 Market Ave N Canton OH 44702-1175
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1952971673
LBN Legal business name Pryor, Kenneth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2021
Last updated Jun 25th, 2021 - about 4 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 1952971673 NPPES
Ohio MEDICAID 853666717

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