Kenny, Mary Ann

Kenny, Mary Ann is an individual health care provider with primary practice located at 1263 N 15Th St , Laramie WY 82072-2343. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Kenny, Mary Ann can be contacted via phone (307) 745-8915.

Contact Information

Primary practice address
1263 N 15Th St Laramie WY 82072-2343
Phone: (307) 745-8915
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9742 Wyoming

Profile Details

NPI number 1639402035
LBN Legal business name Kenny, Mary Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2009
Last updated Sep 16th, 2009 - about 17 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 1639402035 NPPES
Wyoming MEDICAID 106079100

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