Individual
KENNETH PAUL HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1818 VERDUGO BLVD, 201, GLENDALE, CA 91208-1403
(818) 952-2712
(818) 952-4152
Mailing address
1818 VERDUGO BLVD, 201, GLENDALE, CA 91208-1403
(818) 952-2712
(818) 952-4152
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A21582
CA
Other
Enumeration date
08/15/2006
Last updated
07/09/2007
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