Bunting, Kenneth

Bunting, Kenneth is an individual health care provider with primary practice located at 435 Lewis Ave , Meriden CT 06451-2101. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bunting, Kenneth can be contacted via phone (203) 694-8200.

Contact Information

Primary practice address
435 Lewis Ave Meriden CT 06451-2101
Phone: (203) 694-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 090463-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 000275 Connecticut

Profile Details

NPI number 1992805535
LBN Legal business name Bunting, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Mar 1st, 2023 - about 3 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 1992805535 NPPES
Connecticut MEDICAID 430001068

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