Westphal, Kenneth W

Westphal, Kenneth W is an individual health care provider with primary practice located at 1555 Soquel Avenue , Santa Cruz CA 95065-1705. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Westphal, Kenneth W can be contacted via phone (831) 462-7700.

Contact Information

Primary practice address
1555 Soquel Avenue Santa Cruz CA 95065-1705
Phone: (831) 462-7700
Fax: (831) 462-7607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G59273 California

Profile Details

NPI number 1669545174
LBN Legal business name Westphal, Kenneth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Nov 13th, 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 1669545174 NPPES
California Other G59273 CA STATE LICENSE

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