KENNETH UNTALAN
NPI 1750810206
Student in an Organized Health Care Education/Training Program in Fresno, CA
About Kenneth Untalan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH UNTALAN (NPI 1750810206) is an individual student in an organized health care education/training program provider in Fresno, California and active in the NPI registry since June 2017.Information from the official NPPES registry record, last updated June 8, 2017.
NPPES Registry Identity
★ Primary Specialty
Student in an Organized Health Care Education/Training Program
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750810206, enumerated as an "individual" on June 08, 2017.
The provider is located at 1620 EAST BULLDOG LANE FRESNO, CA 93710 and the phone number is (559) 278-4170.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.