Kennedy, Richard L
Kennedy, Richard L is an individual health care provider with primary practice located at 1250 S Sunset Ave # 100-B , West Covina CA 91790-3961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Kennedy, Richard L can be contacted via phone (626) 472-0132.Contact Information
Primary practice address
1250 S Sunset Ave # 100-B
West Covina CA 91790-3961
Phone: (626) 472-0132
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | G62033 | California |
Profile Details
| NPI number | 1487668513 |
|---|---|
| LBN Legal business name | Kennedy, Richard L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1487668513 | NPPES |
| California | MEDICAID | 00G620330 |
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