Individual
DR. KENNETH CORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 967-1884
(310) 967-1744
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 967-1884
(310) 967-1744
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G44944
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
G449440
CA
Other
Enumeration date
09/07/2005
Last updated
02/18/2010
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