MR. KENNETH EDWARD DEMOTT FNP NPI 1730419870

NPI Information

  • NPI: 1730419870
  • Provider Name: MR. KENNETH EDWARD DEMOTT, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 39 PEARL ST W
    SIDNEY, NY
    ZIP 13838
  • Phone: (607) 561-2021

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NPI Details

MR. Kenneth Edward Demott, FNP is a family nurse practitioner in Sidney, NY. MR. Kenneth Edward Demott, FNP NPI is 1730419870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

39 PEARL ST W
SIDNEY, NY
ZIP 13838-330
Phone: (607) 561-2021

The NPI 1730419870 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/13/2010 and was last updated on 2/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily336161NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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