Individual
KEITH KENNETH VAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
617 BROADWAY UNIT 120, SONOMA, CA 95476-2402
(619) 777-8321
(858) 345-5019
Mailing address
617 BROADWAY UNIT 120, SONOMA, CA 95476-2402
(619) 750-8289
(858) 345-5019
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
A87297
CA
208000000X
Pediatrics Physician
A87297
CA
208D00000X
General Practice Physician
A87297
CA
Other
Enumeration date
05/05/2006
Last updated
11/07/2025
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