Havenstrite, Kenneth A
Havenstrite, Kenneth A is an individual health care provider with primary practice located at 2598 W White Rivet Blvd , Muncie IN 47303-5251. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Havenstrite, Kenneth A can be contacted via phone (765) 284-7738.Contact Information
Primary practice address
2598 W White Rivet Blvd
Muncie IN 47303-5251
Phone: (765) 284-7738
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 28177733A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71004277A | Indiana |
Profile Details
| NPI number | 1861736688 |
|---|---|
| LBN Legal business name | Havenstrite, Kenneth A |
| Credentials | ANP-BC, NP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2012 |
| Last updated | Sep 29th, 2021 - 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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