Individual
DR. KEN R CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
78-6831 ALII DR STE 411, KAILUA KONA, HI 96740-5403
(808) 747-8321
Mailing address
78-6831 ALII DR STE 411, KAILUA KONA, HI 96740-5403
(808) 747-8321
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1991
HI
207V00000X
Obstetrics & Gynecology Physician
20A 7621
CA
207V00000X
Obstetrics & Gynecology Physician
3839
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
911174
AHCCCS
AZ
Enumeration date
10/23/2006
Last updated
09/24/2019
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