Hallows, Kenneth R

Hallows, Kenneth R is an individual health care provider with primary practice located at 2020 Zonal Ave # Ird806 , Los Angeles CA 90089-0121. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Hallows, Kenneth R can be contacted via phone (323) 442-1040.

Contact Information

Primary practice address
2020 Zonal Ave # Ird806 Los Angeles CA 90089-0121
Fax: (323) 442-2881
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD062123L Pennsylvania
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X C136632 California

Profile Details

NPI number 1043283997
LBN Legal business name Hallows, Kenneth R
Credentials PHD,MD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Aug 19th, 2020 - about 4 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 1043283997 NPPES
Pennsylvania MEDICAID 001861031

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