Street, Kenderick Renard
Street, Kenderick Renard is an individual health care provider with primary practice located at 503 Townsend Ave , New Haven CT 06512-3653. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Street, Kenderick Renard can be contacted via phone (912) 331-3110.Contact Information
Primary practice address
503 Townsend Ave
New Haven CT 06512-3653
Phone: (912) 331-3110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X |
Profile Details
| NPI number | 1972098184 |
|---|---|
| LBN Legal business name | Street, Kenderick Renard |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2018 |
| Last updated | Jun 29th, 2018 - about 7 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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