Dudley, Kenneth Wayne

Dudley, Kenneth Wayne is an individual health care provider with primary practice located at 100 E Valley View Dr , Fullerton CA 92832-1321. 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. Dudley, Kenneth Wayne can be contacted via phone (714) 680-8257.

Contact Information

Primary practice address
100 E Valley View Dr Fullerton CA 92832-1321
Phone: (714) 680-8257
Fax: (714) 680-8207
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1952630485
LBN Legal business name Dudley, Kenneth Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2009
Last updated Dec 11th, 2009 - about 16 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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