Kennedy, James Gray

Kennedy, James Gray is an individual health care provider with primary practice located at 78878 Us Highway 40 , Winter Park CO 80482-1312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kennedy, James Gray can be contacted via phone (970) 722-0300.

Contact Information

Primary practice address
78878 Us Highway 40 Winter Park CO 80482-1312
Phone: (970) 722-0300
Fax: (970) 722-1032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20996 Colorado

Profile Details

NPI number 1063410603
LBN Legal business name Kennedy, James Gray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Dec 1st, 2011 - about 15 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 1063410603 NPPES
Colorado Other 20996 LICENSE
Colorado MEDICAID 1209964 LICENSE

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