Individual
BLAKE KINSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 OWENS ST, SAN FRANCISCO, CA 94158-2261
(415) 833-2200
Mailing address
181 BARTLETT ST APT 5, SAN FRANCISCO, CA 94110-3060
(419) 961-6746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23045
CA
207Q00000X
Family Medicine Physician
34.017089
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2021
Last updated
09/22/2024
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