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Individual

DR. KENNETH W. LIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A72098
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396823092
CA
01
CA110780
GRP PTAN FOR ALLERGY, ASTHMA & SINUS CENTERS OF SILICON VALLEY
CA
01
EK627Z
INDIVIDUAL MEDICARE PTAN
CA
Enumeration date
11/01/2006
Last updated
02/03/2014
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