Individual provider · Type 1 NPI

Kenneth Ihenetu, PhD, DABCC, FACB

Clinical Laboratory Director (Non-physician) · Delmar, NY

NPI number 1083075212 Active

Practice location

785 Delaware Ave Fl 1
Delmar, NY 12054-9713

Mailing address

785 Delaware Ave, FL1
Delmar, NY 12054

Specialties and licenses

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XIHENK1 (NY)

Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

About NPI 1083075212

Kenneth Ihenetu, PhD, DABCC, FACB's National Provider Identifier is 1083075212, issued on Mar 16, 2016. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Delmar, NY. The record was last updated on Mar 16, 2016.