Kenworthy, Keith Glenn

Kenworthy, Keith Glenn is an sole proprietor health care provider with primary practice located at 1764 N Orange Dr , Los Angeles CA 90028-4307. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Vocational Nurse, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Technologists, Technicians & Other Technical Service Providers / Phlebotomy is his primary health care specialty. Kenworthy, Keith Glenn can be contacted via phone (323) 491-4765.

Contact Information

Primary practice address
1764 N Orange Dr Los Angeles CA 90028-4307
Phone: (323) 491-4765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN 267760 California
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X CPT00040181 California

Profile Details

NPI number 1871831453
LBN Legal business name Kenworthy, Keith Glenn
Credentials LVN,PHLEBOTOMIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2013
Last updated Jan 16th, 2013 - about 12 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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