Individual
SAVUTH KEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
311 W I ST, LOS BANOS, CA 93635-3479
(209) 826-2222
Mailing address
1737 JORDAN AVE, CLOVIS, CA 93611-6686
(559) 907-9162
(559) 445-0316
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20164
CA
Other
Enumeration date
06/02/2009
Last updated
02/13/2025
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