Nielsen, Kenneth R.K.

Nielsen, Kenneth R.K. is an individual health care provider with primary practice located at 900 Kiely Blvd , Santa Clara CA 95051-5329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Nielsen, Kenneth R.K. can be contacted via phone (408) 236-6400.

Contact Information

Primary practice address
900 Kiely Blvd Santa Clara CA 95051-5329
Phone: (408) 236-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X G64131 California

Profile Details

NPI number 1780761643
LBN Legal business name Nielsen, Kenneth R.K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - about 19 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 1780761643 NPPES
California MEDICAID 00G641310

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