George, Sean Kenny

George, Sean Kenny is an individual health care provider with primary practice located at 4334 Nw Expressway Suite 201, Oklahoma City OK 73116-1578. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. George, Sean Kenny can be contacted via phone (405) 921-8270.

Contact Information

Primary practice address
4334 Nw Expressway Suite 201 Oklahoma City OK 73116-1578
Phone: (405) 921-8270
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1963 Oklahoma

Profile Details

NPI number 1568766863
LBN Legal business name George, Sean Kenny
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2010
Last updated Dec 29th, 2010 - about 16 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 1568766863 NPPES
Oklahoma MEDICAID 100221930A

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