Individual
KENNETH LEROY WESTBROOK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2830 W MAIN ST, VISALIA, CA 93291-4331
(559) 636-1000
(559) 733-7438
Mailing address
2830 W MAIN ST, VISALIA, CA 93291-4331
(559) 636-1000
(559) 733-7438
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C27713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C27713
MEDICAL LICENSE
CA
Enumeration date
06/06/2006
Last updated
07/08/2007
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