Bangs, Kenneth

Bangs, Kenneth is an individual health care provider with primary practice located at 1247 E Alluvial Ave Suite 101, Fresno CA 93720-2686. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Bangs, Kenneth can be contacted via phone (559) 431-6226.

Contact Information

Primary practice address
1247 E Alluvial Ave Suite 101 Fresno CA 93720-2686
Phone: (559) 431-6226
Fax: (559) 440-9005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10049 California

Profile Details

NPI number 1548242662
LBN Legal business name Bangs, Kenneth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Sep 9th, 2015 - about 11 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 1548242662 NPPES
California Other 0170299 STATE OF WASHINGTON
California Other 500030488 STATE OF WASHINGTON

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