Individual
DR. KENNETH ISHIZUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 CONSTITUTION BLVD STE 200, SALINAS, CA 93906-3127
(831) 755-4111
(831) 759-6565
Mailing address
1441 CONSTITUTION BLVD STE 200, SALINAS, CA 93906-3127
(831) 755-4111
(831) 759-6565
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G56343
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G56343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G563430
—
CA
Enumeration date
06/27/2006
Last updated
12/07/2007
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