Kenneth Ezenwa, RN
Kenneth Ezenwa, RN is a Nurse Practitioner in Canyon Country, California. Qualified in 2020, 6 years ago. Practices with Inland Psychiatric Medical Group Inc, a 121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 6
- Licensed in
- CA
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- RN — Registered Nurse
- A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
Practice location Address checks out
17467 Honey Maple StCanyon Country, CA 91387-6870
Phone: (661) 212-5273
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 95080178 (CA) |
|---|---|
| Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0808X · Licence 95080178 (CA) |
Record details
| NPI number | 1003379959 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RN |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2019 |
| Last updated in NPPES | February 8, 2022 |
| Certification date | February 8, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Inland Psychiatric Medical Group Inc — 121 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Canyon Country
-
Karen Salvador, PMHNP-BC
18336 Soledad Canyon Rd # 2341, Canyon Country, CA 91387-3035 · (310) 775-3271