Individual
ROBERT B KININGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 REDWOOD SHORES PKWY, REDWOOD CITY, CA 94065-1173
(415) 476-7877
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301054682
MI
207Q00000X
Family Medicine Physician
G202415
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
4301054682
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
G202415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2956800
—
MI
Enumeration date
10/11/2006
Last updated
09/03/2025
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