Individual provider · Type 1 NPI

Derrick Leondras Kenner

Student in an Organized Health Care Education/Training Program · Bakersfield, CA

NPI number 1447516505 Active

Practice location

2151 College Avenue
Bakersfield, CA 93302

Call (661) 868-8080 Map

Fax (661) 868-8087

Mailing address

PO Box 1000
Bakersfield, CA 93302-1000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447516505

Derrick Leondras Kenner's National Provider Identifier is 1447516505, issued on Apr 3, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bakersfield, CA. The record was last updated on Apr 3, 2012.