Kennedy-Funtila, Barbara

Kennedy-Funtila, Barbara is an individual health care provider with primary practice located at 1541 Florida Ave Ste 200, Modesto CA 95350-4429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kennedy-Funtila, Barbara can be contacted via phone (209) 577-3388.

Contact Information

Primary practice address
1541 Florida Ave Ste 200 Modesto CA 95350-4429
Phone: (209) 577-3388
Fax: (209) 523-0764
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A56471 California

Profile Details

NPI number 1700874260
LBN Legal business name Kennedy-Funtila, Barbara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Mar 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700874260 NPPES
California Other CD069A GROUP PTAN
California Other CD231Z GROUP PTAN
California Other 110167145 GROUP PTAN
California Other ZZZ48224Z GROUP PTAN

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