Individual
DR. KENNETH B. PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
305 CAZADOR LN APT C, SAN CLEMENTE, CA 92672-6642
(808) 652-6060
Mailing address
PO BOX 1341, SAN CLEMENTE, CA 92674-1341
(808) 652-6060
(888) 323-0575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DOS-754
HI
Other
Enumeration date
09/13/2006
Last updated
05/08/2018
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