Individual
DR. KENNETH JOSEPH PASSERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2483 PADDOCK DR, SAN RAMON, CA 94583-2428
(925) 829-4641
(925) 905-8971
Mailing address
2483 PADDOCK DR, SAN RAMON, CA 94583-2428
(925) 829-4641
(650) 342-0525
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E33470
—
CA
Enumeration date
05/26/2006
Last updated
01/31/2023
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