Individual
KEVIN MICHAEL LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N DUTTON AVE, SANTA ROSA, CA 95401-7112
(707) 396-5151
Mailing address
1300 N DUTTON AVE, SANTA ROSA, CA 95401-7112
(707) 396-5151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A98063
CA
207QA0505X
Adult Medicine Physician
Primary
A98063
CA
Other
Enumeration date
05/22/2007
Last updated
08/07/2023
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