Holmes, Kenneth Jason

Holmes, Kenneth Jason is an individual health care provider with primary practice located at 734 10Th Ave , San Diego CA 92101-6502. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Holmes, Kenneth Jason can be contacted via phone (619) 239-4663.

Contact Information

Primary practice address
734 10Th Ave San Diego CA 92101-6502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT36002 California

Profile Details

NPI number 1598032229
LBN Legal business name Holmes, Kenneth Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2011
Last updated Dec 1st, 2011 - about 13 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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