Individual
KEITH D KINOSHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1531 ESPLANADE, CHICO, CA 95926-3310
(530) 332-7740
Mailing address
PO BOX 6748, CHICO, CA 95927-6748
(530) 332-7740
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2004010784
MO
207P00000X
Emergency Medicine Physician
A75100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209248707
—
MO
Enumeration date
11/18/2005
Last updated
04/07/2025
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