Kenneth Leonard Hartman RPA-C

NPI 1053388124 - Physician Assistant - 363A00000X

NPI Details
NPI 1053388124
Gender Male
Enumeration Date 03/07/2006
Last Updated 02/25/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2121 S TOWNE CENTRE PL
ANAHEIM CA, 92806-6122, US
Phone (714) 937-1919
Fax (714) 937-1095
Business Location
2121 S TOWNE CENTRE PL
ANAHEIM CA, 92806-6122, US
Phone (714) 937-1919
Fax (714) 937-1095
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number 16290
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According to our database, Kenneth Leonard Hartman RPA-C NPI is 1053388124, taxonomy code is 363A00000X and license number is 16290, license state is located at California. Kenneth Leonard Hartman RPA-C physically located at 2121 S Towne Centre Pl, Anaheim CA, 92806-6122. NPI Number Kenneth Leonard Hartman RPA-C has the Individual type.

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1053388124 NPI number is provided on an as is basis without warranty of any kind. 1053388124 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Leonard Hartman RPA-C are for informational purposes only.