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Individual
DR. KENNETH RAYMOND QUAN
Active
Individual
DR. KENNETH RAYMOND QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
86919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86919
CA RPH LICENSE
CA
Enumeration date
10/06/2022
Last updated
09/16/2025
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