Individual
DR. KEVIN BERNARD NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 WEST ST, CROCKETT, CA 94525-1241
(510) 787-1944
Mailing address
309 WEST ST, CROCKETT, CA 94525-1241
(510) 787-1944
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G37792
CA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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