Obidiegwu, Kyrian C

Obidiegwu, Kyrian C is an individual health care provider with primary practice located at 2021 Herndon Ave # 101 , Clovis CA 93611-6316. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Obidiegwu, Kyrian C can be contacted via phone (510) 861-8246.

Contact Information

Primary practice address
2021 Herndon Ave # 101 Clovis CA 93611-6316
Phone: (510) 861-8246
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1891309688
LBN Legal business name Obidiegwu, Kyrian C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2020
Last updated Oct 2nd, 2020 - about 6 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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