Ezenwa, Kenneth

Ezenwa, Kenneth is an sole proprietor health care provider with primary practice located at 17467 Honey Maple St , Canyon Country CA 91387-6870. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Ezenwa, Kenneth can be contacted via phone (661) 212-5273.

Contact Information

Primary practice address
17467 Honey Maple St Canyon Country CA 91387-6870
Phone: (661) 212-5273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95080178 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95080178 California

Profile Details

NPI number 1003379959
LBN Legal business name Ezenwa, Kenneth
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2019
Last updated Feb 8th, 2022 - about 2 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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