Individual
KENNETH D. KUSHNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26732 CROWN VALLEY PKWY, SUITE 351, MISSION VIEJO, CA 92691-6306
(949) 364-1007
(949) 364-0317
Mailing address
26732 CROWN VALLEY PKWY, SUITE 351, MISSION VIEJO, CA 92691-6306
(949) 364-1007
(949) 364-0317
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G47729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WG47729A
PIN
CA
Enumeration date
07/28/2005
Last updated
07/08/2007
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