Provider Demographics
NPI:1710330287
Name:POST, KENNETH S (HIS)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:S
Last Name:POST
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23010 LAKE FOREST DR STE B
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1351
Mailing Address - Country:US
Mailing Address - Phone:949-340-8438
Mailing Address - Fax:949-760-1744
Practice Address - Street 1:16 HERTFORD
Practice Address - Street 2:
Practice Address - City:NEWPORT COAST
Practice Address - State:CA
Practice Address - Zip Code:92657-1077
Practice Address - Country:US
Practice Address - Phone:949-760-1193
Practice Address - Fax:949-760-1744
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHT-9419237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist