Low, Kenneth Theodore

Low, Kenneth Theodore is an individual health care provider with primary practice located at 155 15Th St , West Sacramento CA 95691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Low, Kenneth Theodore can be contacted via phone (855) 354-2242.

Contact Information

Primary practice address
155 15Th St West Sacramento CA 95691
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G35264 California

Profile Details

NPI number 1750548814
LBN Legal business name Low, Kenneth Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated Sep 28th, 2018 - about 6 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 1750548814 NPPES
California Other P01527379 - DV5277 RAILROAD MEDICARE
California MEDICAID EFF: 8/31/1989 RAILROAD MEDICARE

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