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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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