Kenyon, Paul Scott

Kenyon, Paul Scott is an individual health care provider with primary practice located at 150 S East Ave , Jackson MI 49201-2412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kenyon, Paul Scott can be contacted via phone (517) 787-6924.

Contact Information

Primary practice address
150 S East Ave Jackson MI 49201-2412
Phone: (517) 787-6924
Fax: (517) 787-8335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 49140 Michigan

Profile Details

NPI number 1760465348
LBN Legal business name Kenyon, Paul Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jan 22nd, 2014 - about 12 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 1760465348 NPPES
Michigan Other 0380337 BCBSM
Michigan MEDICAID 2572436 BCBSM

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