Reynolds, Kenneth Bradley
Reynolds, Kenneth Bradley is an sole proprietor health care provider with primary practice located at 1307 Airline Blvd , Portsmouth VA 23707-4011. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Reynolds, Kenneth Bradley can be contacted via phone (757) 399-4662.Contact Information
Primary practice address
1307 Airline Blvd
Portsmouth VA 23707-4011
Phone: (757) 399-4662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | VA6170 | Virginia |
Profile Details
| NPI number | 1003974080 |
|---|---|
| LBN Legal business name | Reynolds, Kenneth Bradley |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 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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