Kenner, Kati Lynn

Kenner, Kati Lynn is an individual health care provider with primary practice located at 215 Pesetas Ln , Santa Barbara CA 93110-1416. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kenner, Kati Lynn can be contacted via phone (805) 563-6110.

Contact Information

Primary practice address
215 Pesetas Ln Santa Barbara CA 93110-1416
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 55303 California

Profile Details

NPI number 1558854984
LBN Legal business name Kenner, Kati Lynn
Credentials PA-C, MMS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2018
Last updated Jan 14th, 2019 - about 7 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 1558854984 NPPES
California Other PA55303 LICENSE

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