Lods, Kenneth R

Lods, Kenneth R is an sole proprietor health care provider with primary practice located at 411 Tunnel Ave , Johnstown PA 15905-3726. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lods, Kenneth R can be contacted via phone (814) 243-9951.

Contact Information

Primary practice address
411 Tunnel Ave Johnstown PA 15905-3726
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2019084433 Pennsylvania

Profile Details

NPI number 1780219980
LBN Legal business name Lods, Kenneth R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2020
Last updated Mar 8th, 2020 - about 5 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 1780219980 NPPES
Pennsylvania Other 2019084433 ANCC

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