Individual
DR. KENNY K. CHARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 CLINTON RD, SUITE 105, JACKSON, CA 95642-2648
(209) 223-1194
(209) 223-1196
Mailing address
PO BOX 5406, EL DORADO HILLS, CA 95762-0008
(209) 223-1194
(209) 223-1196
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G68975
CA
Other
Enumeration date
09/26/2006
Last updated
06/17/2008
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