Individual
DR. CHARLES D KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 N LAKEVIEW AVE, ANAHEIM, CA 92807-3028
(714) 279-5449
Mailing address
17081 WESTPORT DR, HUNTINGTON BEACH, CA 92649-4219
(714) 846-4913
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G23234
CA
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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