Individual
KENNETH PACOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
557 MISTY VIEW WAY, NIPOMO, CA 93444-8872
(805) 895-8776
Mailing address
PO BOX 1736, PISMO BEACH, CA 93448-1736
(805) 895-8776
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G32580
CA
Other
Enumeration date
02/13/2007
Last updated
01/31/2013
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