Mr. Ken R Pradillada II
Student in an Organized Health Care Education/Training Program in Erie, Pennsylvania
1154253110- Practice location
- 109 University Sq, Erie, PA 16541-0002
- Phone
- 856-689-4840
- Fax
- —
- Last updated
- June 2, 2026
Ken Rafael Pradillada is a Student in an Organized Health Care Education/Training Program based in Erie, PA. Ken Rafael Pradillada practices in Erie, PA. The NPI Number for Ken Rafael Pradillada is 1154253110. The current practice location address for Ken Rafael Pradillada is 109 University Sq, Erie, PA 16541-0002 and can be reached out via phone at 856-689-4840.
Provider Profile Details
- NPI Number
- 1154253110
- Provider Name
- Ken Rafael Pradillada
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 109 University Sq, Erie, PA 16541-0002
- Phone Number
- 856-689-4840
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 2, 2026
- Last Update Date
- June 2, 2026
- Certification Date
- June 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 109 University Sq
Erie, PA 16541-0002 - City
- Erie
- State
- Pennsylvania
- Zip
- 16541-0002
- Phone Number
- 856-689-4840
Provider Business Mailing Address Details
- Address
- 9 Deerfield Ln
Sewell, NJ 08080-2009 - City
- Sewell
- State
- NJ
- Zip
- 08080-2009
- Phone Number
- 856-689-4840
License Information
- License State
- PA
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Ken R Pradillada II?
The NPI number of Mr. Ken R Pradillada II is 1154253110. It was assigned on June 2, 2026 and is currently active in the NPPES registry.
What is the specialty of Mr. Ken R Pradillada II?
Mr. Ken R Pradillada II is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Mr. Ken R Pradillada II practice?
The practice location is 109 University Sq, Erie, PA 16541-0002. The office can be reached at 856-689-4840 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154253110 directly on the NPPES registry website.