Organization · Type 2 NPI
Paul Kenworthy DMD PC
Customized Equipment (DME) · Newport, VT
NPI number
1285012401
Active
Practice location
5043 US Route 5
Newport, VT 05855-9843
Fax (866) 561-8426
Mailing address
4 Kellogg Rd
Essex Junction, VT 05452-2815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 975 (VT) |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1285012401
Paul Kenworthy DMD PC's National Provider Identifier is 1285012401, issued on May 7, 2015. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Newport, VT. The record was last updated on Oct 26, 2015.