Kennedy, Anne B

Kennedy, Anne B is an individual health care provider with primary practice located at 1801 W Wisconsin Ave , Milwaukee WI 53233-2186. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kennedy, Anne B can be contacted via phone (414) 288-0762.

Contact Information

Primary practice address
1801 W Wisconsin Ave Milwaukee WI 53233-2186
Phone: (414) 288-0762
Fax: (414) 288-0678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2887016 Wisconsin

Profile Details

NPI number 1760655906
LBN Legal business name Kennedy, Anne B
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Apr 9th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760655906 NPPES
Wisconsin MEDICAID 33810500

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