Individual
ANTHONY MCDONALD KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10301 GARVEY AVE STE 100, EL MONTE, CA 91733-2180
(626) 448-0468
(626) 448-0438
Mailing address
17203 MORNINGRAIN AVE, CERRITOS, CA 90703-8322
(562) 860-1846
(560) 860-8998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G84127
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G84127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G841270
—
CA
Enumeration date
11/21/2006
Last updated
11/23/2007
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