Individual
MR. KENT J. FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 S PATTERSON AVE, SANTA BARBARA, CA 93111-2403
(805) 967-3411
Mailing address
PO BOX 888443, LOS ANGELES, CA 90088-8443
(626) 204-6765
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G69465
CA
Other
Enumeration date
09/29/2006
Last updated
02/20/2013
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