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Organization

KMS GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH THOMAS M.D. (CEO)
(310) 819-7057
Entity
Organization

Contact information

Practice address
1125 MONTEREY BLVD, HERMOSA BEACH, CA 90254-3785
(310) 819-7057
Mailing address
1125 MONTEREY BLVD, HERMOSA BEACH, CA 90254-3785
(310) 819-7057

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A44107
CA

Other

Enumeration date
04/24/2012
Last updated
04/24/2012
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