Ildefonso, Kenneth
Ildefonso, Kenneth is an sole proprietor health care provider with primary practice located at 1801 Monks Ave Apartment 413, Mankato MN 56001-6356. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Ildefonso, Kenneth can be contacted via phone (203) 584-3347.Contact Information
Primary practice address
1801 Monks Ave Apartment 413
Mankato MN 56001-6356
Phone: (203) 584-3347
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2474 | Minnesota |
Profile Details
| NPI number | 1518356427 |
|---|---|
| LBN Legal business name | Ildefonso, Kenneth |
| Credentials | A.T.R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2015 |
| Last updated | Jan 15th, 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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