Individual
KEVIN CHARLES BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 GREENLEY RD STE 914, SONORA, CA 95370-5287
(095) 365-7782
(209) 536-5779
Mailing address
900 GREENLEY RD STE 914, SONORA, CA 95370-5287
(209) 536-5778
(925) 924-1769
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G77956
CA
Other
Enumeration date
06/27/2005
Last updated
10/09/2024
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