Miranda, Kenneth

Miranda, Kenneth is an individual health care provider with primary practice located at 375 Woodside Ave Bldg W-3, San Francisco CA 94127-1221. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Miranda, Kenneth can be contacted via phone (415) 753-4443.

Contact Information

Primary practice address
375 Woodside Ave Bldg W-3 San Francisco CA 94127-1221
Phone: (415) 753-4443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 12479 California

Profile Details

NPI number 1023137619
LBN Legal business name Miranda, Kenneth
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 16th, 2007 - about 17 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 1023137619 NPPES
Other 486 CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER
Other 486 CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER

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