Lundeen, Kenneth David

Lundeen, Kenneth David is an individual health care provider with primary practice located at 13128 N 94Th Dr Ste 207 , Peoria AZ 85381-4253. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lundeen, Kenneth David can be contacted via phone (623) 974-1797.

Contact Information

Primary practice address
13128 N 94Th Dr Ste 207 Peoria AZ 85381-4253
Phone: (623) 974-1797
Fax: (623) 974-1798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 683 Arizona

Profile Details

NPI number 1558337402
LBN Legal business name Lundeen, Kenneth David
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jun 8th, 2020 - 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 1558337402 NPPES
Arizona Other 2Z2293 HEALTH NET
Arizona Other 74518 HEALTH NET
Arizona Other 860744695 HEALTH NET
Arizona Other 650010309 HEALTH NET
Arizona Other 719065 HEALTH NET

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