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Individual

DR. KENNETH MELBOURNE KROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13010 BUCKLEY ST, POWAY, CA 92064-5608
(702) 732-4515
Mailing address
477 MOUNTAIN RD, JAFFREY, NH 03452-5925
(603) 532-1141

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A18019
CA

Other

Enumeration date
04/11/2009
Last updated
04/11/2009
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