Organization
KERN COUNTY MEDICAL CLINIC,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEE RUERN KITT MD (PHYSICIAN)
(661) 325-2448
Entity
Organization
Contact information
Practice address
2222 19TH STREET, BAKERSFIELD, CA 93301
(661) 325-2448
(661) 325-7425
Mailing address
2222 19TH STREET, BAKERSFIELD, CA 93301
(661) 325-2448
(661) 325-7425
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
C41262
CA
207RI0200X
Infectious Disease Physician
C41262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C412620
—
CA
01
—
1710091749
NPI PROVIDER
CA
01
—
BS111A
MEDICARE PTAN
—
Enumeration date
02/21/2007
Last updated
02/04/2013
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