Individual
KENNETH HARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
4855 N ILA AVE, FRESNO, CA 93705-0340
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95135373
CA
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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