Griffith, Kenneth Logan

Griffith, Kenneth Logan is an individual health care provider with primary practice located at 25 Monument Rd Ste 270 , York PA 17403-5073. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Griffith, Kenneth Logan can be contacted via phone (717) 741-8250.

Contact Information

Primary practice address
25 Monument Rd Ste 270 York PA 17403-5073
Phone: (717) 741-8250
Fax: (717) 741-8289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R139828 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X TLRN060830 Pennsylvania

Profile Details

NPI number 1861494387
LBN Legal business name Griffith, Kenneth Logan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jan 27th, 2021 - about 3 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 1861494387 NPPES
Maryland Other R139828 STATE LICENSE
Maryland MEDICAID 403934300 STATE LICENSE

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