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Individual

KENNETH KINNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1415 ROSS AVE, EL CENTRO, CA 92243-4306
(760) 339-7100
(760) 339-7389
Mailing address
PO BOX 969096, SAN DIEGO, CA 92196-9096
(858) 495-0971

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A22729
CA

Other

Enumeration date
06/11/2006
Last updated
09/17/2010
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