Individual
KENNETH PAUL JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
4212 MORNING GLORY WAY, SAN LUIS OBISPO, CA 93401-7645
(805) 242-6170
Mailing address
4212 MORNING GLORY WAY, SAN LUIS OBISPO, CA 93401-7645
(805) 242-6170
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO 02934
CA
224P00000X
Prosthetist
Primary
CPO 02934
CA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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