Bird, Kenneth Dean
Bird, Kenneth Dean is an individual health care provider with primary practice located at 1221 Fulton Mall , Fresno CA 93721-1915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Bird, Kenneth Dean can be contacted via phone (559) 445-3413.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | C39995 | California |
Profile Details
| NPI number | 1124193388 |
|---|---|
| LBN Legal business name | Bird, Kenneth Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124193388 | NPPES |
| California | MEDICAID | CMM70293F |
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