Individual
DR. KENNETH EDWARD FOUTS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3025 SAN LORENZO WAY, CARMICHAEL, CA 95608-4552
(916) 202-4072
Mailing address
3025 SAN LORENZO WAY, CARMICHAEL, CA 95608-4552
(916) 202-4072
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35 . 051852
OH
207L00000X
Anesthesiology Physician
Primary
G57440
CA
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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