Organization
KENNETH F. BINMOELLER, MD INC
Active
Organization
KENNETH F. BINMOELLER, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH FRANK BINMOELLER M.D (CEO)
(415) 600-1151
Entity
Organization
Contact information
Practice address
2333 BUCHANAN ST, 5TH FLOOR GI LAB, SAN FRANCISCO, CA 94115-1925
(415) 600-1151
(415) 600-1416
Mailing address
3116 W MARCH LN, SUITE 200, STOCKTON, CA 95219-2369
(209) 473-6555
(209) 473-6544
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A49767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A497670
—
CA
01
—
1851321715
NPI NUMBER
CA
01
—
A049767
CA MD LICENSE
CA
Enumeration date
07/28/2008
Last updated
07/28/2008
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