Individual
KEVIN ANTHONY PAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 E HARDY ST, SUITE 200, INGLEWOOD, CA 90301-4054
(310) 672-3900
(310) 672-9300
Mailing address
501 E HARDY ST, SUITE 200, INGLEWOOD, CA 90301-4054
(310) 672-3900
(310) 672-9300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
21891
CA
Other
Enumeration date
10/24/2011
Last updated
09/26/2023
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