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Individual

KENNETH JOSEPH WEIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RCP,CRT,PA

Contact information

Practice address
4321 BIRCH ST, SUITE 100, NEWPORT BEACH, CA 92660-1923
(949) 851-1550
(949) 476-1478
Mailing address
101 VIA PRESA, SAN CLEMENTE, CA 92672
(866) 364-7378
(949) 492-7070

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
00001700
CA

Other

Enumeration date
08/19/2008
Last updated
08/19/2008
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