person
Kenneth Jerome Hainsworth, DO
Student in an Organized Health Care Education/Training Program in Stockton, California
NPI 1942822184

Kenneth Jerome Hainsworth is a Student in an Organized Health Care Education/Training Program based in Stockton, CA. Kenneth Jerome Hainsworth practices in Stockton, CA and has the professional credentials of DO. The NPI Number for Kenneth Jerome Hainsworth is 1942822184 and holds a License No. (California).

The current practice location address for Kenneth Jerome Hainsworth is 1800 N California St, Stockton, CA and can be reached out via phone at 209-943-2000.

Location: 1800 N California St, Stockton, CA, 95204-6019
person
Provider Profile Details
NPI Number
1942822184
Provider Name
Kenneth Jerome Hainsworth
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1800 N California St, Stockton, CA, 95204-6019
Phone Number
209-943-2000
Fax Number
Provider Enumeration Date
05/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1800 N California St
City
State
Zip
95204-6019
Phone Number
209-943-2000
Fax Number
person
Provider Business Mailing Address Details
Address
1800 N California St
City
State
Zip
95204-6019
Phone Number
209-943-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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