Individual
MR. NICOLAS DANIEL JAMES KENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 CRESCENT RD, CORTE MADERA, CA 94925-1316
(203) 247-6455
Mailing address
106 CRESCENT RD, CORTE MADERA, CA 94925-1316
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E201386
CA
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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