St. Ours, Kenneth A

St. Ours, Kenneth A is an individual health care provider with primary practice located at 8118 Good Luck Rd , Lanham MD 20706-3595. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. St. Ours, Kenneth A can be contacted via phone (301) 498-5990.

Contact Information

Primary practice address
8118 Good Luck Rd Lanham MD 20706-3595
Phone: (301) 498-5990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0001047 Maryland

Profile Details

NPI number 1245313816
LBN Legal business name St. Ours, Kenneth A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 22nd, 2007 - about 18 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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