Miranda, Kenneth

Miranda, Kenneth is an individual health care provider with primary practice located at 12555 Navajo Rd , Apple Valley CA 92308-7256. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Miranda, Kenneth can be contacted via phone (760) 247-8001.

Contact Information

Primary practice address
12555 Navajo Rd Apple Valley CA 92308-7256
Phone: (760) 247-8001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1720938673
LBN Legal business name Miranda, Kenneth
Credentials PPS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2026
Last updated Jan 30th, 2026 - about 9 months 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.

Request for update

Popular Providers