Boddie, Kenneth William
Boddie, Kenneth William is an individual health care provider with primary practice located at 639 S Hampshire Ave 2Nd Floor , Los Angeles CA 90005. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Boddie, Kenneth William can be contacted via phone (213) 387-9400.Contact Information
Primary practice address
639 S Hampshire Ave 2Nd Floor
Los Angeles CA 90005
Phone: (213) 387-9400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | G40741 | California |
Profile Details
| NPI number | 1225088230 |
|---|---|
| LBN Legal business name | Boddie, Kenneth William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 9th, 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.
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