Individual
DR. KENNETH A. KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 S GRAPE ST, ESCONDIDO, CA 92025-4406
(760) 743-1205
Mailing address
125 S GRAPE ST, ESCONDIDO, CA 92025-4406
(760) 743-1205
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G20816
CA
2084P0802X
Addiction Psychiatry Physician
G20816
CA
Other
Enumeration date
07/07/2006
Last updated
01/12/2015
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