Irvin, Kenyatta

Irvin, Kenyatta is an sole proprietor health care provider with primary practice located at 607 W Avenue Q Ste A , Palmdale CA 93551-3872. 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. Irvin, Kenyatta can be contacted via phone (562) 552-1374.

Contact Information

Primary practice address
607 W Avenue Q Ste A Palmdale CA 93551-3872
Phone: (562) 552-1374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95018472 California

Profile Details

NPI number 1689325425
LBN Legal business name Irvin, Kenyatta
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2022
Last updated Oct 6th, 2022 - about 2 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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