Kuykendall, Samuel J
Kuykendall, Samuel J is an sole proprietor health care provider with primary practice located at 1203 Trotwood Ave , Columbia TN 38401-4886. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kuykendall, Samuel J can be contacted via phone (931) 388-1181.Contact Information
Primary practice address
1203 Trotwood Ave
Columbia TN 38401-4886
Phone: (931) 388-1181
Fax: (931) 381-5302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 621078139 | Tennessee |
Profile Details
| NPI number | 1508929258 |
|---|---|
| LBN Legal business name | Kuykendall, Samuel J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2006 |
| Last updated | Feb 19th, 2008 - about 18 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 | 1508929258 | NPPES |
| Other | 2007555 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 3177644 | BLUE CROSS BLUE SHIELD |
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