Palm, Kenneth

Palm, Kenneth is an sole proprietor health care provider with primary practice located at 106 High Point Ctr Suite 100, Colchester VT 05446-5861. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Palm, Kenneth can be contacted via phone (802) 655-5308.

Contact Information

Primary practice address
106 High Point Ctr Suite 100 Colchester VT 05446-5861
Phone: (802) 655-5308
Fax: (802) 655-5715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 01237 Vermont

Profile Details

NPI number 1184746851
LBN Legal business name Palm, Kenneth
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Dec 15th, 2011 - about 15 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 1184746851 NPPES
Vermont Other 412187837 TAX IDENTIFICATION NUMBER
Vermont MEDICAID 1005081 TAX IDENTIFICATION NUMBER

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