person
Kendel Thirlbenny, PA-C
Medical Physician Assistant in Long Beach, California
NPI 1942358221

Kendel Thirlbenny is a Medical Physician Assistant based in Long Beach, CA and is specialized in Medical. Kendel Thirlbenny practices in Long Beach, CA and has the professional credentials of PA-C. The NPI Number for Kendel Thirlbenny is 1942358221 and holds a License No. PA 16098 (California).

The current practice location address for Kendel Thirlbenny is 540 E Artesia Blvd, Long Beach, CA and can be reached out via phone at 562-423-3383 and via fax at 877-469-3649. You can also correspond with Kendel Thirlbenny through the mailing address at 200 OCEANGATE, LONG BEACH, CA - 90802-4302 (mailing address contact number: 562-499-6191).

Location: 540 E Artesia Blvd, Long Beach, CA, 90802-4302
person
Provider Profile Details
NPI Number
1942358221
Provider Name
Kendel Thirlbenny
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
540 E Artesia Blvd, Long Beach, CA, 90802-4302
Phone Number
562-423-3383
Fax Number
877-469-3649
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EFF: 1/18/2013 05 CA
PA16098 05 CA
P01272662/DU4032 01 CA RAILROAD MEDICARE
P01273082 01 CA RAILROAD MEDICARE-DU4032-WILMINGTON
institution
Provider Business Practice Location Address Details
Address
540 E Artesia Blvd
City
State
Zip
90805-1476
Phone Number
562-423-3383
Fax Number
877-469-3649
person
Provider Business Mailing Address Details
Address
540 E Artesia Blvd
City
State
Zip
90805-1476
Phone Number
562-423-3383
Fax Number
877-469-3649
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 16098 (California)
Definition
Definition to come...
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