Rundell, William Kennard

Rundell, William Kennard is an individual health care provider with primary practice located at 1520 S. Main Street Suite 210, Dayton OH 45409-2675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Rundell, William Kennard can be contacted via phone (937) 228-4126.

Contact Information

Primary practice address
1520 S. Main Street Suite 210 Dayton OH 45409-2675
Fax: (937) 228-0247
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35043493R Ohio

Profile Details

NPI number 1174595748
LBN Legal business name Rundell, William Kennard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 20th, 2010 - about 14 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 1174595748 NPPES
Ohio MEDICAID 0413065

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