Kenneth Ezenwa
RN | Nurse Practitioner | 5+ years Exp
17467 Honey Maple St, Canyon Country
California, 91387-6870
661-212-5273
Kenneth Ezenwa is a Canyon Country, California based nurse practitioner with 5 years of experience in Nurse Practitioner. He completed his graduation in 2020. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kenneth Ezenwa is 95080178 for Psych/Mental Health in California. His current practice location is 17467 Honey Maple St, Canyon Country. Patients can reach him at 661-212-5273. Kenneth Ezenwa is RN with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1003379959.
Kenneth Ezenwa has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kenneth Ezenwa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kenneth Ezenwa |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | RN |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 17467 Honey Maple St, Canyon Country,
California, 91387-6870 |
| Phone: | 661-212-5273 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1951788215 |
| Enrollment ID: | I20220506002213 |
| NPI Number: | 1003379959 |
| NPI Enumeration Date: | 08 Apr, 2019 |
| NPI Last Update On: | 08 Feb, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Ezenwa are as mentioned below.
| License Number | Specialization | State | Status | |
| 95080178 | Psych/Mental Health | California | Primary | |
| 95080178 | Registered Nurse | California | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kenneth Ezenwa is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Inland Psychiatric Medical Group Inc (9436062312) | 65 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kenneth Ezenwa
17467 Honey Maple St,
Canyon Country, California |
| Zip: | 91387-6870 |
| Phone Number: | 661-212-5273 |
Patients can reach Kenneth Ezenwa at
17467 Honey Maple St, Canyon Country, California or can
call to book an appointment on 661-212-5273.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.