Individual
KEVIN BRADLEY KAISERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 W MERCED AVE, SUITE 101, WEST COVINA, CA 91790-3401
(626) 813-9988
(626) 813-0075
Mailing address
1401 W MERCED AVE, SUITE 101, WEST COVINA, CA 91790-3401
(626) 813-9988
(626) 813-0075
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
G78831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G788310
—
CA
Enumeration date
09/26/2006
Last updated
07/08/2007
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