Kennedy, Lance

Kennedy, Lance is an sole proprietor health care provider with primary practice located at 5500 University Pkwy , San Bernardino CA 92407-2318. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Kennedy, Lance can be contacted via phone (909) 537-5495.

Contact Information

Primary practice address
5500 University Pkwy San Bernardino CA 92407-2318
Phone: (909) 537-5495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X P70877 California

Profile Details

NPI number 1316792856
LBN Legal business name Kennedy, Lance
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2024
Last updated Apr 18th, 2024 - about 2 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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