Kessner, Amanda Rose

Kessner, Amanda Rose is an individual health care provider with primary practice located at 902 Stannage Ave , Albany CA 94706-2006. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Kessner, Amanda Rose can be contacted via phone (510) 679-1119.

Contact Information

Primary practice address
902 Stannage Ave Albany CA 94706-2006
Phone: (510) 679-1119
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 610 California

Profile Details

NPI number 1548885478
LBN Legal business name Kessner, Amanda Rose
Credentials LM, CPM
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2020
Last updated Jun 16th, 2020 - about 5 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 1548885478 NPPES
California Other 610 MEDICAL BOARD OF CALIFORNIA

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