| Kenneth Poblete Igno, | |
|
7050 Broadway, Lemon Grove, CA 91945-1406 | |
| (619) 745-5932 | |
| Not Available |
| Full Name | Kenneth Poblete Igno |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 7050 Broadway, Lemon Grove, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487465845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 307445 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mdrs Spine And Sport Inc | 3274446687 | 147 |
| Provider Name | Mdrs Spine & Sport Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Poblete Igno, 7050 Broadway, Lemon Grove, CA 91945-1406 Ph: () - | Kenneth Poblete Igno, 7050 Broadway, Lemon Grove, CA 91945-1406 Ph: (619) 745-5932 |
Christopher Timothy Andrews, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7050 Broadway, Lemon Grove, CA 91945 Phone: 619-745-5932 | |
Dr. Abigail Dawn Ennenga, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2606 Bonita St, Lemon Grove, CA 91945 Phone: 406-240-8324 | |
Tyler De La Garza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7050 Broadway, Lemon Grove, CA 91945 Phone: 619-745-5932 | |
Jordan Mason, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7826 Broadway, Lemon Grove, CA 91945 Phone: 619-876-4420 | |
Kasey Rae Tolbert, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7922 Palm St, Lemon Grove, CA 91945 Phone: 619-644-1000 | |
Carlos Fabian Ontiveros, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7826 Broadway, Lemon Grove, CA 91945 Phone: 619-876-4420 |