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KENNETH P. JIANG M.D. INC. NPI 1275674814


NPI Information

NPI: 1275674814
Provider Name: KENNETH P. JIANG, M.D., INC.
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
901 SUNSET DR
3
HOLLISTER, CA
ZIP 95023
Phone: (831) 636-4994
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KENNETH P. JIANG, M.D., INC. is a non pharmacy dispensing site in Hollister, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) KENNETH P. JIANG, M.D., INC. NPI is 1275674814. The provider is registered as an organization entity type.

The provider's business location address is:

901 SUNSET DR
3
HOLLISTER, CA
ZIP 95023-613
Phone: (831) 636-4994

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 10/22/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteA66628CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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