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Organization

KWS NEURO GROUP

Active
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Organization

KWS NEURO GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH ALAN BLANKENSHIP (CEO)
(619) 820-9442
Entity
Organization

Contact information

Practice address
4645 CASS ST STE 204, SAN DIEGO, CA 92109-2848
(619) 820-9442
Mailing address
8584 CLIFFRIDGE AVE, LA JOLLA, CA 92037-2110
(619) 820-9442

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—

Other

Enumeration date
12/15/2025
Last updated
12/15/2025
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