Individual
MR. BENJAMIN KERNEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
3637 CLARINGTON AVE, LOS ANGELES, CA 90034
(323) 963-4401
Mailing address
12655 W JEFFERSON BLVD, LOS ANGELES, CA 90066-7008
(424) 285-0443
(888) 859-0145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT294231
CA
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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