Organization
KENNETH I LIGHT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH I LIGHT MD (CEO)
(415) 673-4500
Entity
Organization
Contact information
Practice address
1700 CALIFORNIA ST STE 340, SAN FRANCISCO, CA 94109-4589
(415) 673-4500
Mailing address
1700 CALIFORNIA ST STE 340, SAN FRANCISCO, CA 94109-4589
(415) 673-4500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G035263
CA
Other
Enumeration date
06/20/2008
Last updated
07/08/2008
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