Individual
MR. KENNETH W BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, CSCS
Contact information
Practice address
1200 INDUSTRIAL RD, SUITE 1, SAN CARLOS, CA 94070-4123
(650) 654-1223
(650) 654-1205
Mailing address
1200 INDUSTRIAL RD, SUITE 1, SAN CARLOS, CA 94070-4123
(650) 654-1223
(650) 654-1205
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT18609
CA
Other
Enumeration date
01/30/2006
Last updated
05/13/2013
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