Lien, Kenny

Lien, Kenny is an individual health care provider with primary practice located at 75 N Country Road , Port Jefferson NY 11777. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Lien, Kenny can be contacted via phone (631) 476-2767.

Contact Information

Primary practice address
75 N Country Road Port Jefferson NY 11777
Phone: (631) 476-2767
Fax: (631) 473-0132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 261820-I New York
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 261820-I New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1780858860
LBN Legal business name Lien, Kenny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2008
Last updated Aug 31st, 2012 - about 14 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 1780858860 NPPES
New York Other 261820-1 NEW YORK STATE LICENSE

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