Individual
KEVIN M ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 853-2951
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-2951
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A121082
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A121082
CA
Other
Enumeration date
06/15/2007
Last updated
06/06/2023
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