Miracle Kennon

ActiveIndividual ProviderSpecialty not listed
NPI issued: August 31, 2016

Quick Facts

NPI Number
1417403163
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy374U00000X — Specialty not listed
Phone
(323) 593-1035
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1417403163)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 31, 2016)
Data source: CMS NPPES

Provider Overview

MIRACLE KENNON is a Healthcare provider based in Los Angeles, CA who has been registered with CMS since 2016. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1417403163
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateAugust 31, 2016

Practice Location

CityLos Angeles
StateCA
ZIP Code90037-3723
Phone(323) 593-1035

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code374U00000X
License StateCA

Mailing Address

CityLos Angeles
StateCA
ZIP Code90037-3723
Phone(323) 593-1035
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1417403163 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1417403163for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1417403163 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
51,492
Specialty not listed Providers in the US

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People Also Ask

What is Miracle Kennon's NPI number?
Miracle Kennon's NPI number is 1417403163, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Miracle Kennon's NPI currently active?
Yes, Miracle Kennon's NPI status is Active as of the latest CMS NPPES database updates.
What does Miracle Kennon specialize in?
Miracle Kennon specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 374U00000X.
Where does Miracle Kennon practice?
Miracle Kennon practices in Los Angeles, CA 90037-3723.
When was Miracle Kennon's NPI issued?
Miracle Kennon's NPI was issued on August 31, 2016.
What is Miracle Kennon's provider type?
Miracle Kennon is registered as an Individual Provider under CMS NPI Type 1.