Bourne, Kenrick Carlyle

Bourne, Kenrick Carlyle is an sole proprietor health care provider with primary practice located at Loma Linda University , Loma Linda CA 92350-0001. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bourne, Kenrick Carlyle can be contacted via phone (909) 558-7295.

Contact Information

Primary practice address
Loma Linda University Loma Linda CA 92350-0001
Phone: (909) 558-7295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12018 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X PA12018 California

Profile Details

NPI number 1063690931
LBN Legal business name Bourne, Kenrick Carlyle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2008
Last updated Feb 4th, 2008 - about 18 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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