Kazenelson, Kenneth A

Kazenelson, Kenneth A is an individual health care provider with primary practice located at 29472 Avenida De Las Bandera , Rancho Santa Margarita CA 92688-2651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kazenelson, Kenneth A can be contacted via phone (949) 459-9968.

Contact Information

Primary practice address
29472 Avenida De Las Bandera Rancho Santa Margarita CA 92688-2651
Phone: (949) 459-9968
Fax: (949) 766-2565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A86358 California

Profile Details

NPI number 1275539637
LBN Legal business name Kazenelson, Kenneth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Feb 10th, 2015 - about 10 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 1275539637 NPPES
California Other 05D1013480 CLIA

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