Kenneth Tanner, is a
Rehabilitation Practitioner based in Los Angeles, California. Kenneth Tanner is licensed to practice in * (Not Available) (license number ) and his current practice location is
840 N Avenue 66, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(626) 395-7100.
NPI number for Kenneth Tanner is 1346937513 and his current mailing address is 1651 W Avenue J8 Apt 113, Lancaster, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346937513.
Healthcare Provider's Profile
| Full Name | Kenneth Tanner |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 840 N Avenue 66, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346937513
- Provider Enumeration Date: 04/19/2023
- Last Update Date: 06/12/2024
Medical Identifiers
Medical identifiers for Kenneth Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346937513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Tanner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Tanner,
1651 W Avenue J8 Apt 113,
Lancaster, CA 93534-4786
Ph: (602) 772-2477 | Kenneth Tanner,
840 N Avenue 66,
Los Angeles, CA 90042-1508
Ph: (626) 395-7100 |
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