Thirlbenny, Kendel

Thirlbenny, Kendel is an individual health care provider with primary practice located at 540 E Artesia Blvd , Long Beach CA 90805-1476. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Thirlbenny, Kendel can be contacted via phone (562) 423-3383.

Contact Information

Primary practice address
540 E Artesia Blvd Long Beach CA 90805-1476
Phone: (562) 423-3383
Fax: (877) 469-3649
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 16098 California

Profile Details

NPI number 1942358221
LBN Legal business name Thirlbenny, Kendel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Apr 16th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942358221 NPPES
California MEDICAID EFF: 1/18/2013
California MEDICAID PA16098
California Other P01272662/DU4032
California Other P01273082

Popular Providers