Bautista, Kenneth

Bautista, Kenneth is an sole proprietor health care provider with primary practice located at 45 Cleary Ct Apt 11 , San Francisco CA 94109-6515. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as his primary health care specialty. Bautista, Kenneth can be contacted via phone (415) 572-5922.

Contact Information

Primary practice address
45 Cleary Ct Apt 11 San Francisco CA 94109-6515
Phone: (415) 572-5922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 13617 California

Profile Details

NPI number 1245636570
LBN Legal business name Bautista, Kenneth
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2014
Last updated Feb 11th, 2022 - about 4 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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