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Individual

DONALD BOKENFOHR KEARNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3030 CHILDRENS WAY, SUITE 402, SAN DIEGO, CA 92123-4232
(858) 309-7701
Mailing address
3860 CALLE FORTUNADA, SUITE 210, SAN DIEGO, CA 92123-4800
(858) 309-6303
(858) 309-6301

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
C42381
CA
207YP0228X
Pediatric Otolaryngology Physician
Primary
C42381
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C423810
CA
Enumeration date
11/13/2006
Last updated
10/10/2011
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