Individual
DR. KEVIN DAVID GERHART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SPINAL CORD INJURY (128), SAN DIEGO, CA 92161-0002
(858) 642-3117
(858) 642-6233
Mailing address
3350 LA JOLLA VILLAGE DR, SPINAL CORD INJURY (128), SAN DIEGO, CA 92161-0002
(858) 642-3117
(858) 642-6233
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
A43986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A439860
—
CA
Enumeration date
06/06/2006
Last updated
07/08/2007
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