Kenneth Eatmon, LLP in Los Angeles, CA - Student in an Organized Health Care Education/Training Program

Kenneth Eatmon, LLP - in Los Angeles, CA

Kenneth Eatmon, LLP is a Student In An Organized Health Care Education/training Program based in Los Angeles, California. Kenneth Eatmon is licensed to practice in California (license number ) and his current practice location is 617 S Olive St Ste 200, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (213) 430-9080.

NPI number for Kenneth Eatmon is 1548686124 and his current mailing address is 617 S Olive St Ste 200, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548686124.

Contact Information

	Kenneth Eatmon, LLP
	617 S Olive St Ste 200, Los Angeles, CA 90014-1646
	(213) 430-9080
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Eatmon
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	617 S Olive St Ste 200, Los Angeles, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1548686124
Provider Enumeration Date: 03/06/2014
Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Kenneth Eatmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548686124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TF0200X	Psychologist - Forensic	6301014325 (Michigan)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(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. Kenneth Eatmon 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 Eatmon, LLP 617 S Olive St Ste 200, Los Angeles, CA 90014-1646 Ph: (312) 933-1459	Kenneth Eatmon, LLP 617 S Olive St Ste 200, Los Angeles, CA 90014-1646 Ph: (213) 430-9080