Kenoly, Jacqueline L

Kenoly, Jacqueline L is an individual health care provider with primary practice located at 2909 Se Walnut Dr , Topeka KS 66605-2189. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kenoly, Jacqueline L can be contacted via phone (785) 267-0047.

Contact Information

Primary practice address
2909 Se Walnut Dr Topeka KS 66605-2189
Phone: (785) 267-0047
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-28696 Kansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-28696 Kansas

Profile Details

NPI number 1659322451
LBN Legal business name Kenoly, Jacqueline L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Feb 1st, 2024 - about 2 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 1659322451 NPPES
Kansas Other 058650 MEDICARE PTAN
Kansas MEDICAID 100366150A MEDICARE PTAN

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