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Individual

MR. KENNETH WILKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
10300 COMPTON AVE, LOS ANGELES, CA 90002
(323) 357-6683
(232) 291-3081
Mailing address
10300 COMPTON AVE, LOS ANGELES, CA 90002-3628
(323) 357-6683

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1069
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E1069
CA
Enumeration date
08/16/2006
Last updated
03/26/2014
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