Edwards, Kenessa B
Edwards, Kenessa B is an individual health care provider with primary practice located at 70 Dubois Street St. Lukes Hospital, Newburgh NY 12550. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Edwards, Kenessa B can be contacted via phone (845) 561-4400.Contact Information
Primary practice address
70 Dubois Street St. Lukes Hospital
Newburgh NY 12550
Phone: (845) 561-4400
Fax: (585) 368-3219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 273126-1 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 273126 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 273126-1 | New York |
Profile Details
| NPI number | 1871882795 |
|---|---|
| LBN Legal business name | Edwards, Kenessa B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2011 |
| Last updated | Oct 30th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871882795 | NPPES |
| New York | MEDICAID | 04501364 |
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