Legan, Kenneth

Legan, Kenneth is an individual health care provider with primary practice located at 251 County Road 120 , Saint Cloud MN 56303-4872. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Legan, Kenneth can be contacted via phone (320) 202-8949.

Contact Information

Primary practice address
251 County Road 120 Saint Cloud MN 56303-4872
Phone: (320) 202-8949
Fax: (320) 202-0756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9515 Minnesota

Profile Details

NPI number 1487682704
LBN Legal business name Legan, Kenneth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Sep 26th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487682704 NPPES
Minnesota MEDICAID 332145200

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