Individual
BOB KIAII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2335 STOCKTON BLVD, 6TH FLOOR, SACRAMENTO, CA 95817
(916) 734-3861
Mailing address
4718 B ST, SACRAMENTO, CA 95819-2227
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C165340
CA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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