Mr Keith Glenn Kenworthy, LVN,PHLEBOTOMIST is a
Technician, Pathology - Phlebotomy based in Los Angeles, California. Mr Keith Glenn Kenworthy is licensed to practice in California (license number CPT00040181) and his current practice location is
1764 N Orange Dr, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(323) 491-4765.
NPI number for Mr Keith Glenn Kenworthy is 1871831453 and his current mailing address is 1764 N Orange Dr, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871831453.
Provider's Profile
Full Name | Mr Keith Glenn Kenworthy |
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Gender | Male |
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Speciality | Technician, Pathology - Phlebotomy |
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Location | 1764 N Orange Dr, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871831453
- Provider Enumeration Date: 01/16/2013
- Last Update Date: 01/16/2013
Medical Identifiers
Medical identifiers for Mr Keith Glenn Kenworthy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871831453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | VN 267760 (California) | Secondary |
246RP1900X | Technician, Pathology - Phlebotomy | CPT00040181 (California) | 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. Mr Keith Glenn Kenworthy 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 |
Mr Keith Glenn Kenworthy, LVN,PHLEBOTOMIST 1764 N Orange Dr, Los Angeles, CA 90028-4307 Ph: (323) 491-4765 | Mr Keith Glenn Kenworthy, LVN,PHLEBOTOMIST 1764 N Orange Dr, Los Angeles, CA 90028-4307 Ph: (323) 491-4765 |
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