Kacenga, Kenneth

Kacenga, Kenneth is an sole proprietor health care provider with primary practice located at 155 Colle Portal 300, Sierra Vista AZ 85635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kacenga, Kenneth can be contacted via phone (520) 458-8075.

Contact Information

Primary practice address
155 Colle Portal 300 Sierra Vista AZ 85635
Phone: (520) 458-8075
Fax: (520) 458-0339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01607 Arizona

Profile Details

NPI number 1245279827
LBN Legal business name Kacenga, Kenneth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Jan 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245279827 NPPES
Other AZ0779520 BCBS AZ
MEDICAID 241997 BCBS AZ
Other 4114160 BCBS AZ

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