Kenzakowski, Leo F
Kenzakowski, Leo F is an individual health care provider with primary practice located at 1602 Skipwith Rd , Richmond VA 23229-5205. He 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 his primary health care specialty. Kenzakowski, Leo F can be contacted via phone (804) 289-4500.Contact Information
Primary practice address
1602 Skipwith Rd
Richmond VA 23229-5205
Phone: (804) 289-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101233641 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101233641 | Virginia |
Profile Details
| NPI number | 1457342255 |
|---|---|
| LBN Legal business name | Kenzakowski, Leo F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Sep 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457342255 | NPPES |
| Virginia | Other | 6230121 | CIGNA |
| Virginia | MEDICAID | 10228905 | CIGNA |
| Virginia | MEDICAID | 1457342255 | CIGNA |
| Virginia | Other | 302011 | CIGNA |
| Virginia | Other | P00601102 | CIGNA |
| Virginia | Other | 10228905 | CIGNA |
| Virginia | Other | P00606712 | CIGNA |
| Virginia | Other | 631615 | CIGNA |
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