Individual
DR. KENNETH R. PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MD(HC)
Contact information
Practice address
5 COUNTRY OAK LN, ALAMO, CA 94507-2854
(925) 932-7074
(925) 838-3007
Mailing address
5 COUNTRY OAK LN, ALAMO, CA 94507-2854
(925) 932-7074
(925) 838-3007
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY4631
CA
Other
Enumeration date
03/17/2007
Last updated
11/04/2025
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