Sullivan, Kenneth
Sullivan, Kenneth is an sole proprietor health care provider with primary practice located at 2439 Bloomfield Rd , Cape Girardeau MO 63703-6415. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sullivan, Kenneth can be contacted via phone (573) 335-5199.Contact Information
Primary practice address
2439 Bloomfield Rd
Cape Girardeau MO 63703-6415
Phone: (573) 335-5199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2006013084 | Missouri |
Profile Details
| NPI number | 1689756272 |
|---|---|
| LBN Legal business name | Sullivan, Kenneth |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Sep 10th, 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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