Barbara Kennedy-Funtila in Modesto - Internal Medicine

Barbara Kennedy-Funtila - NPI 1700874260

Barbara Kennedy-Funtila is a Internal Medicine in Modesto, California. Barbara Kennedy-Funtila practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Barbara Kennedy-Funtila is 1700874260. The last update date is 2011-03-29.

Barbara Kennedy-Funtila's current location address is 1541 Florida Ave, Modesto, California. You can contact this provider via phone number 2095773388 and fax number 2095230764. The mailing address for Barbara Kennedy-Funtila is 1541 Florida Ave, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Barbara Kennedy-Funtila
Address 1541 Florida Ave, Modesto, California
Phone Number 2095773388
Fax Number 2095230764
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1700874260
Provider Enumeration Date 2005-10-10
Last Updated Date 2011-03-29

Provider Mailing Address Detail

Address 1541 Florida Ave
City Modesto
State California (CA)
Post Code 953504429
Phone Number 2095773388
Fax Number 2095230764

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A56471
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CD069A CA GROUP PTAN
CD231Z CA INDIVIDUAL PTAN
110167145 CA RAILROAD MEDICARE
ZZZ48224Z CA MEDICARE IDENTIFICATION #

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FAQs about Barbara Kennedy-Funtila

What is the unique provider identifier assigned to Barbara Kennedy-Funtila?

The Barbara Kennedy-Funtila has been issued the NPI (National Provider Identifier) 1700874260 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Barbara Kennedy-Funtila is physically located?

The Barbara Kennedy-Funtila is situated at the following address: 1541 Florida Ave, Modesto, CA 953504429.

What is the area of specialization for Barbara Kennedy-Funtila, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Barbara Kennedy-Funtila is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1700874260 to Barbara Kennedy-Funtila?

The Centers for Medicare & Medicaid Services originally issued the 1700874260 to Barbara Kennedy-Funtila on 2005-10-10.

When was the information regarding Barbara Kennedy-Funtila, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Barbara Kennedy-Funtila, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-03-29.

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