Individual
KEVIN R SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1040 MANGROVE AVE, CHICO, CA 95926-3509
(530) 345-0064
(530) 345-0680
Mailing address
1040 MANGROVE AVE, CHICO, CA 95926-3509
(530) 345-0064
(530) 345-0680
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A18076
CA
Other
Enumeration date
03/03/2016
Last updated
04/12/2022
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