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KENNETH UNTALAN
NPI 1750810206
Student in an Organized Health Care Education/Training Program in Fresno, CA

Active since June 08, 2017
1620 EAST BULLDOG LANE, FRESNO, CA 93710(559) 278-4170(559) 278-8355 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 in Fresno, California and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1750810206
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENNETH UNTALAN
Location Address1620 EAST BULLDOG LANEFresno, CA 93710
Mailing Address1906 12th AveDelano, CA 93215-3835 · (661) 703-9645
Phone(559) 278-4170
Fax(559) 278-8355
Sole ProprietorNo
Enumeration DateJune 8, 2017
✔ NPI 1750810206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1620 EAST BULLDOG LANE, Fresno, CA 93710
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Untalan's NPI number?

The NPI number for Kenneth Untalan is 1750810206. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Kenneth Untalan located?

Kenneth Untalan practices at 1620 East Bulldog Lane, Fresno, CA 93710. The listed phone number is (559) 278-4170.

What is Kenneth Untalan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kenneth Untalan was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.