Individual
KENNETH MARTIN WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 MUIR RD, VA OUTPATIENT CLINIC, MARTINEZ, CA 94553
(925) 372-2000
Mailing address
150 MUIR RD, VA OUTPATIENT CLINIC, MARTINEZ, CA 94553
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 16229
CA
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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