Individual
KENNETH B. FECHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2250 HAYES ST, SAN FRANCISCO, CA 94117-1013
(415) 750-5761
(415) 666-0210
Mailing address
2250 HAYES ST, SAN FRANCISCO, CA 94117-1013
(415) 750-5761
(415) 666-0210
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G660850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G660850
—
CA
Enumeration date
05/27/2005
Last updated
02/01/2008
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