Herrick, Kenneth
Herrick, Kenneth is an individual health care provider with primary practice located at 17043 Main St , Hesperia CA 92345-6055. 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. Herrick, Kenneth can be contacted via phone (760) 241-6666.Contact Information
Primary practice address
17043 Main St
Hesperia CA 92345-6055
Phone: (760) 241-6666
Fax: (760) 243-2099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95008084 | California |
Profile Details
| NPI number | 1629576244 |
|---|---|
| LBN Legal business name | Herrick, Kenneth |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2018 |
| Last updated | Mar 17th, 2018 - about 8 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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