Individual
MR. KENNETH DEWEY CHILDERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
99 W PORTAL AVE, SAN FRANCISCO, CA 94127-1303
(600) 641-5661
Mailing address
1314 22ND AVE UNIT 22070, SAN FRANCISCO, CA 94122-1650
(415) 290-1884
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
585519
CA
Other
Enumeration date
05/16/2011
Last updated
08/19/2025
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