Weiss, Kenny

Weiss, Kenny is an individual health care provider with primary practice located at 380 Encinal St Ste 200 , Santa Cruz CA 95060-2178. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Weiss, Kenny can be contacted via phone (831) 469-1700.

Contact Information

Primary practice address
380 Encinal St Ste 200 Santa Cruz CA 95060-2178
Fax: (831) 425-1905
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1891206124
LBN Legal business name Weiss, Kenny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2017
Last updated Jun 7th, 2023 - about 3 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.

Request for update

Popular Providers