Prebil, Kenneth Joseph

Prebil, Kenneth Joseph is an individual health care provider with primary practice located at 14155 N 83Rd Ave Ste A105 , Peoria AZ 85381-5640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Prebil, Kenneth Joseph can be contacted via phone (623) 486-7700.

Contact Information

Primary practice address
14155 N 83Rd Ave Ste A105 Peoria AZ 85381-5640
Phone: (623) 486-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5770 Arizona

Profile Details

NPI number 1396707451
LBN Legal business name Prebil, Kenneth Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Aug 15th, 2008 - 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 1396707451 NPPES
Arizona MEDICAID 225319
Arizona Other AZ0053950

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