Kuznetsky, Kenneth Allen

Kuznetsky, Kenneth Allen is an sole proprietor health care provider with primary practice located at 5645 W Addison St , Chicago IL 60634-4403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kuznetsky, Kenneth Allen can be contacted via phone (773) 348-4640.

Contact Information

Primary practice address
5645 W Addison St Chicago IL 60634-4403
Phone: (773) 348-4640
Fax: (773) 794-4698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X Illinois

Profile Details

NPI number 1851461289
LBN Legal business name Kuznetsky, Kenneth Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851461289 NPPES
Other 31601236 BLUE CROSS BLUE SHIELD

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