Kenney, L Thomas

Kenney, L Thomas is an individual health care provider with primary practice located at 1716 Hartford St , Lafayette IN 47904-2173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kenney, L Thomas can be contacted via phone (765) 742-1567.

Contact Information

Primary practice address
1716 Hartford St Lafayette IN 47904-2173
Phone: (765) 742-1567
Fax: (765) 429-2700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35030307 Ohio

Profile Details

NPI number 1790761534
LBN Legal business name Kenney, L Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Nov 3rd, 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 1790761534 NPPES
Ohio MEDICAID 410666

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