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
Phone: (323) 442-1040
Fax: (323) 442-2881
Website:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043283997 | NPPES |
Pennsylvania | MEDICAID | 001861031 |
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