Individual
DR. KENNETH DEAN BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 FULTON MALL, FRESNO, CA 93721-1915
(559) 445-3413
Mailing address
1755 W BROWNING AVE, FRESNO, CA 93711-2310
(559) 244-1467
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
C39995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70293F
—
CA
Enumeration date
11/22/2006
Last updated
07/08/2007
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