Hart, Kenneth Wayne

Hart, Kenneth Wayne is an individual health care provider with primary practice located at 1454 E 2Nd St , San Bernardino CA 92408-0118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Hart, Kenneth Wayne can be contacted via phone (909) 382-7146.

Contact Information

Primary practice address
1454 E 2Nd St San Bernardino CA 92408-0118
Phone: (909) 382-7146
Fax: (909) 382-7101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X G019894 California

Profile Details

NPI number 1689651671
LBN Legal business name Hart, Kenneth Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Apr 15th, 2013 - about 12 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 1689651671 NPPES
California Other J891171 INLAND EMPIRE HEALTH PLAN
California Other F141171 INLAND EMPIRE HEALTH PLAN
California Other 00G198940 INLAND EMPIRE HEALTH PLAN

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