Podboy, Keren Ann

Podboy, Keren Ann is an sole proprietor health care provider with primary practice located at 2039 Forest Ave Ste 201 , San Jose CA 95128-4815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Podboy, Keren Ann can be contacted via phone (408) 358-8090.

Contact Information

Primary practice address
2039 Forest Ave Ste 201 San Jose CA 95128-4815
Phone: (408) 358-8090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95012011 California

Profile Details

NPI number 1063073138
LBN Legal business name Podboy, Keren Ann
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2019
Last updated Jun 27th, 2019 - 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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