Individual
KEVIN KINZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1950 SUNNY CREST DR STE 3500, FULLERTON, CA 92835-3646
(714) 408-4249
Mailing address
1950 SUNNY CREST DR STE 3500, FULLERTON, CA 92835-3646
(714) 408-4249
(714) 626-8686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G55613
CA
208600000X
Surgery Physician
G55613
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
G55613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G556130
—
CA
Enumeration date
11/13/2006
Last updated
01/16/2024
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