MR. KEITH GLENN KENWORTHY LVN,PHLEBOTOMIST
NPI 1871831453
Technician, Pathology - Phlebotomy in Los Angeles, CA
- Individual
- Male
- Technician, Pathology
- Phlebotomy
About KEITH KENWORTHY
This page provides the complete NPI Profile along with additional information for Keith Kenworthy, a provider established in Los Angeles, California with a medical specialization in Technician, Pathology, focusing in phlebotomy . The healthcare provider is registered in the NPI registry with number 1871831453 assigned on January 2013. The practitioner's primary taxonomy code is 246RP1900X with license number CPT00040181 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1871831453 Verify this NPI
- Provider Name
- MR. KEITH GLENN KENWORTHY LVN,PHLEBOTOMIST
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1764 N ORANGE DR LOS ANGELES, CA 90028
- Location Phone
- (323) 491-4765
- Mailing Address
- 1764 N ORANGE DR LOS ANGELES, CA 90028
- Mailing Phone
- (323) 491-4765
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-16-2013
- Last Update Date
- 01-16-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician, Pathology Phlebotomy
- Taxonomy Code
- 246RP1900X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- CPT00040181
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 164X00000X | Nursing Service Providers | Licensed Vocational Nurse | VN 267760 (CA) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871831453, enumerated as an "individual" on January 16, 2013.
The provider is located at 1764 N ORANGE DR LOS ANGELES, CA 90028 and the phone number is (323) 491-4765.
Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.
