Individual
KENNETH R HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13851 E 14TH ST, SUITE 102, SAN LEANDRO, CA 94578-2631
(510) 351-2100
Mailing address
13851 E 14TH ST, SUITE 102, SAN LEANDRO, CA 94578-2631
(510) 351-2100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C32910
CA
Other
Enumeration date
02/03/2006
Last updated
12/30/2009
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