Fife, Kenneth H

Fife, Kenneth H is an individual health care provider with primary practice located at 61 Sandy Creek Way , Novato CA 94947-2071. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Fife, Kenneth H can be contacted via phone (317) 457-2214.

Contact Information

Primary practice address
61 Sandy Creek Way Novato CA 94947-2071
Phone: (317) 457-2214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G153225 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 01030930 Indiana

Profile Details

NPI number 1497711865
LBN Legal business name Fife, Kenneth H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Nov 5th, 2018 - about 7 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 1497711865 NPPES
Indiana MEDICAID 100071630

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