Herrick, Kenneth

Herrick, Kenneth is an individual health care provider with primary practice located at 17043 Main St , Hesperia CA 92345-6055. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Herrick, Kenneth can be contacted via phone (760) 241-6666.

Contact Information

Primary practice address
17043 Main St Hesperia CA 92345-6055
Phone: (760) 241-6666
Fax: (760) 243-2099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95008084 California

Profile Details

NPI number 1629576244
LBN Legal business name Herrick, Kenneth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2018
Last updated Mar 17th, 2018 - about 6 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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