Organization
KERN DERMATOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A MACDUFF MD (PRESIDENT PHYSICIAN)
(661) 324-1312
Entity
Organization
Contact information
Practice address
2215 G ST, BAKERSFIELD, CA 93301-3931
(661) 324-1312
(661) 324-0901
Mailing address
2215 G STREET, BAKERSFIELD, CA 93301
(661) 324-1312
(661) 324-0909
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ZZZ84406Z
CA
207ND0900X
Dermatopathology Physician
ZZZ84406Z
CA
207NS0135X
Procedural Dermatology Physician
ZZZ84406Z
CA
Other
Enumeration date
03/23/2007
Last updated
05/15/2008
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