Individual
JEFFREY DEAN KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 DELBON AVE, TURLOCK, CA 95382-2016
(209) 664-5065
(209) 664-5067
Mailing address
9300 VALLEY CHILDRENS PL, SC05, MADERA, CA 93636-8761
(559) 353-5700
(559) 353-5708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
23415
NE
208000000X
Pediatrics Physician
Primary
A103298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0078680
GROUP MEDICAID
CA
Enumeration date
01/24/2008
Last updated
04/08/2008
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