Individual
KENNETH WAYNE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1454 E 2ND ST, SAN BERNARDINO, CA 92408-0118
(909) 382-7146
(909) 382-7101
Mailing address
1454 E 2ND ST, SAN BERNARDINO, CA 92408-0118
(909) 382-7146
(909) 382-7101
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
G019894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G198940
MEDI-CAL PROVIDER NUMBER
CA
01
—
F141171
INLAND EMPIRE HEALTH PLAN
CA
01
—
J891171
INLAND EMPIRE HEALTH PLAN
CA
Enumeration date
12/29/2005
Last updated
04/15/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us